The Bethesda System for Reporting Thyroid Cytopathology: proposed modifications and updates for the second edition from an international panel

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• 作者：Marc Pusztaszeri ; MD^a ; Esther Diana Rossi ; MD^b ; Manon Auger ; MD^c ; Zubair Baloch ; MD^d ; Justin Bishop ; MD^e ; Massimo Bongiovanni ; MD^f ; Ashish Chandra ; MD^g ; Beatrix Cochand-Priollet ; MD^h ; Guido Fadda ; MD^b ; Mitsuyoshi Hirokawa ; MDⁱ ; SoonWong Hong ; MD^j ; Kennichi Kakudo ; MD^k ; Jeffrey F. Krane ; MD^l ; Ritu Nayar ; MD^m ; Sareh Parangi ; MDⁿ ; Fernando Schmitt ; MD^o ; William C. Faquin ; MD^p ;
• 关键词：Bethesda system ; thyroid lesion ; classification systems ; diagnostic categories ; NIFTP
• 刊名：Journal of the American Society of Cytopathology
• 出版年：2016
• 出版时间：September-October 2016
• 年：2016
• 卷：5
• 期：5
• 页码：245-251
• 全文大小：284 K

文摘

The Bethesda System for Reporting Thyroid Cytology (TBSRTC) was proposed in 2007 at the National Cancer Institute Thyroid Fine Needle Aspiration State of the Art and Science » Conference held in Bethesda, Maryland. The aim was to address the inconsistent and sometimes confusing reporting terminologies used for thyroid FNA throughout the world. The TBSRTC consists of 6 diagnostic categories, each associated with an implied risk of malignancy that translates directly into a clinical management algorithm. Since the publication of the TBSRTC cytology Atlas in January 2010, considerable experience has been gained regarding its application in cytology practice, clinical impact, and limitations. In conjunction with the International Academy of Cytology (IAC), an international panel composed of sixteen cytopathologists and an endocrinologist with special interest in thyroid cytology, including several co-authors of the 2010 TBSRTC Atlas, was created to: 1) analyze the current worldwide impact of TBSRTC, 2) report on the current state of TBSRTC based upon a review of the published literature, and 3) provide possible recommendations for a future update of TBSRTC. Herein, we summarize the panel's deliberations and key recommendations that our panel hopes will be useful during the preparation of the second edition of TBSRTC.