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Year : 2016  |  Volume : 13  |  Issue : 3  |  Page : 110-114

Better thyroid cytopathology reporting and interpretation using different classification systems

1 Department of Pathology, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India
2 Department of Pathology, U. P. Rural Institute of Medical Sciences and Research, Etawah, Uttar Pradesh, India

Correspondence Address:
Vivek Gupta
Department of Pathology, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha - 442 002, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-0354.193129

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Context: Palpable thyroid nodules may be found in 4-7% of the general population and can be approached by fine needle aspiration cytology (FNAC). Standardized terminology for thyroid cytopathology reporting is due need of the time. Aims: To (1) classify various thyroid lesions in Bethesda reporting pattern. (2) Classify the various thyroid lesions in the UK the British Thyroid Association/The Royal College Pathologist (BTA/RCP) Thy 1−Thy 5 categories. (3) Compare the results of both systems with old conventional system of reporting. Settings and Design: UP Rural Institute of Medical Sciences and Research, Saifai, Etawah and Jawaharlal Nehru Medical College, Sawangi, Wardha. Subjects and Methods: Totally, 300 thyroid lesions who attended the pathology department of both colleges were taken and classified in different classification systems, and their comparative analysis was done. Statistical Analysis Used: SPSS. Results: Total number of patients was 300. The age range was 10-70 years for both genders. Maximum Number of cases was in 20-29 years of age. The conventional reporting pattern classified 33 cases as inadequate, 233 cases as benign, Follicular adenoma 10 cases, indeterminate 13 cases, and malignancy 11 cases. In the Bethesda System of thyroid cytopathology, there were 234 cases, 6 cases, 9 cases, 3 cases, and 15 cases in category II, III, IV, V, VI, respectively. The RCP Thy 1−Thy 5 categories included 18 cases in Thy 1, 15 cases in Thy 1c, 171 cases in Thy 2, 63 cases in Thy 2c, 6 in Thy 3a, 9 in Thy 3f, 3 in Thy 4, and 15 in Thy 5 categories, respectively. Conclusions: The Bethesda System of thyroid classification and UK the BTA/RCP has superior edge over the conventional reporting pattern and should be followed more commonly and should be incorporated in routine reporting pattern for thyroid FNAC.

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