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Indian Journal of Pathology and Oncology

Thyroid cytology reporting by the Bethesda System: A two-year experience at an academic institute

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Author Details: Lalji G. Valiya, Seema N Baxi

Volume : 5

Issue : 1

Online ISSN : 2394-6792

Print ISSN : 2394-6784

Article First Page : 35

Article End Page : 41


Introduction: Present study was aimed to report thyroid FNACs according to the latest guidelines given by the TBSRTC into diagnostic categories and subcategories, analyse category-wise cytomorphological characteristics and provide brief management guidelines to the treating consultants.
Materials and Methods: A total 276 patients with thyroid lesions were studied using non-aspiration FNA technique. The stained cytological slides were reported according to the TBSRTC monograph. The cytomorphological findings were compared with clinical findings and relevant investigations.
Result: Of 276 lesions, 240 (86.96%) cases were females. The commonest age group was 31-40 years. Benign category was the largest (84.78%) followed by non-diagnostic/unsatisfactory which was 6.16%. Malignant and suspicious of malignancy constituted 1.45% and 1.09% respectively.
Conclusion: Majority of thyroid lesions were benign and the Bethesda monograph provides uniform reporting system along with management guidelines, thus reduces inter observer variability and unnecessary surgical procedures.

Keywords: Bethesda, FNAC, Goiter, Thyroid.

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