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The 2017 Bethesda System for Reporting Thyroid Cytopathology
Thyroid (New York, N.Y.), 2017-11, Vol.27 (11), p.1341-1346
[Peer Reviewed Journal]
2017, Mary Ann Liebert, Inc. ;ISSN: 1050-7256 ;EISSN: 1557-9077 ;DOI: 10.1089/thy.2017.0500 ;PMID: 29091573
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Title:
The 2017 Bethesda System for Reporting Thyroid Cytopathology
Author:
Cibas, Edmund S.
;
Ali, Syed Z.
Subjects:
Biopsy, Fine-Needle - standards
;
Consensus
;
Humans
;
Predictive Value of Tests
;
Prognosis
;
Reproducibility of Results
;
Special Article
;
Terminology as Topic
;
Thyroid Neoplasms - classification
;
Thyroid Neoplasms - pathology
Is Part Of:
Thyroid (New York, N.Y.), 2017-11, Vol.27 (11), p.1341-1346
Description:
The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) established a standardized, category-based reporting system for thyroid fine-needle aspiration (FNA) specimens. The 2017 revision reaffirms that every thyroid FNA report should begin with one of six diagnostic categories, the names of which remain unchanged since they were first introduced: (i) nondiagnostic or unsatisfactory; (ii) benign; (iii) atypia of undetermined significance (AUS) or follicular lesion of undetermined significance (FLUS); (iv) follicular neoplasm or suspicious for a follicular neoplasm; (v) suspicious for malignancy; and (vi) malignant. There is a choice of two different names for some of the categories. A laboratory should choose the one it prefers and use it exclusively for that category. Synonymous terms (e.g., AUS and FLUS) should not be used to denote two distinct interpretations. Each category has an implied cancer risk that ranges from 0% to 3% for the “benign” category to virtually 100% for the “malignant” category, and, in the 2017 revision, the malignancy risks have been updated based on new (post 2010) data. As a function of their risk associations, each category is linked to updated, evidence-based clinical management recommendations. The recent reclassification of some thyroid neoplasms as noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) has implications for the risk of malignancy, and this is accounted for with regard to diagnostic criteria and optional notes. Such notes can be useful in helping guide surgical management.
Publisher:
United States: Mary Ann Liebert, Inc
Language:
English
Identifier:
ISSN: 1050-7256
EISSN: 1557-9077
DOI: 10.1089/thy.2017.0500
PMID: 29091573
Source:
MEDLINE
Alma/SFX Local Collection
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