Most studies validating the bethesda system for reporting thyroid cytopathology tbsrtc have been conducted in western countries. The bethesda system for reporting thyroid cytopathology bsrtc dr. The bethesda system tbs is a system for reporting cervical or vaginal cytologic diagnoses, used for reporting pap smear results. Pdf the bethesda system for reporting thyroid cytopathology. The bethesda system for reporting thyroid cytopathology tbsrtc has provided a set of uniform diagnostic terminology including benign b, atypia of undetermined significance aus, follicular neoplasm fn, suspicious for malignancy sm, malignancy m, and nondiagnostic nd for the interpretation of thyroid fine. Research article thyroid cytopathology reporting by the. It has high predictive value, reproducibility, and improved clinical significance. Improved imaging techniques and increased surveillance for nonthyroid malignancies have increased the detection of incidental nodules. We explored the current status of tbsrtc in an area where most thyroid malignancies are papillary carcinomas. Contents introduction bethesda categories nondiagnostic or unsatisfactory benign atypia of undetermined significance or follicular lesion of undetermined significance follicular neoplasm or suspicious for a. Bethesda system category description risk of malignancy recommendation.
The bethesda system for reporting cervical cytology, with its userfriendly format, is a must have for pathologists, cytopathologists, pathology residents, cytotechnologists, and clinicians. Thyroid cytopathology recent advances october 21, 2017 dr. The bethesda system for reporting thyroid cytopathology tbsrtc is a significant step to standardize the reporting of thyroid fine needle aspiration fna. Cibas the first edition of the bethesda system for reporting thyroid cytopathology was published in 2010 and has greatly influenced the practice of thyroid cytopathology. The bethesda system for reporting thyroid cytopathology proved to be an excellent reporting system. Assessment of the bethesda system for reporting thyroid. The bethesda system for reporting thyroid cytopathology edmund s.
The name comes from the location bethesda, maryland of the conference that established the system. The bethesda system for reporting thyroid cytopathology is the system used to report whether the thyroid cytological specimen is benign or malignant. Updates to the bethesda system for reporting thyroid. Definitions, criteria, and explanatory notes syed z. The bethesda system for reporting thyroid cytopathology, 2nd ed. The bethesda system for reporting thyroid cytologytbsrtc has attempted to standardize reportingin aspiration smears. Each of the categories has an implied cancer risk that links it to an appropriate clinical management guideline. Classification of thyroid fineneedle aspiration cytology into. The bethesda system for reporting of thyroid cytopathology. W ith its inception, the bethesda system for reporting thyroid cytopathology tbsrtc established a standardized reporting system with a limited number of diagnostic categories for thyroid fineneedle aspiration fna specimens.
The bethesda system for reporting thyroid cytology tbsrtc was proposed in 2007 at the national cancer institute thyroid fine needle. The 2017 bethesda system for reporting thyroid cytopathology. It was introduced in 1988 and revised in 1991, 2001, and 2014. We aimed to evaluate the disease spectrum of thyroid cytopathology and correlation of bsrtc with final histopathology in our setup. The bethesda system for reporting thyroid cytopathology, 2017 laila khazai 11417. Thyroid fna key cytology and histology for clinicians. The bethesda system for reporting thyroid cytopathology. The bethesda system for reporting thyroid cytopathology uniform terminology for reporting thyroid cytopathology involved physicians caring for and managing pts with thyroid nodules associated risk of malignancy rom with diagnostic categories atlas published in 2010. It is a six category scheme with individual risks of malignancy that influence management paradigms. C professor, department of pathology mcgill university director, cytopathology laboratory. Bethesda system for reporting thyroid cytopathology in.
The bethesda system for reporting thyroid cytopathology is effective for clinical management of thyroid nodules jerome m. The adoption of the system will facilitate communication among the cytopathologist, surgeon, endocrinologist and radiologist and also allow easy and reliable sharing of data from. Cancer institute, bethesda, maryland, united states published guidelines known as bethesda system of reporting thyroid cytopathology tbsrtc. The american thyroid association guidelines task force on thyroid nodules and. To address terminology and other issues related to thyroid. Bethesda system for reporting thyroid cytopathology bsrtc was introduced to streamline the reporting of thyroid aspirates. The bethesda system for reporting thyroid cytopathology tbsrtc1 is now in its second edition. The terminology proposed and illustrated in this text has been widely adopted not only in the u.
The bethesda system for reporting thyroid cytopathology the nci conference participants acknowledged the importance of developing a uniform terminology for reporting thyroid fna results. Thoroughly revised and updated, the bethesda system for reporting thyroid cytopathology, second edition will provide the reader with a unified approach to diagnosing and reporting thyroid fna interpretations. The bethesda system for reporting thyroid cytopathology, 2017. Fineneedle aspiration fna remains the most effective and safe method of evaluating thyroid nodules for potential surgical management. The bethesda system for reporting thyroid cytopathology has been widely.
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. The bethesda system for reporting thyroid cytopathology is. Pdf the 2017 bethesda system for reporting thyroid. Fineneedle aspiration fna of the thyroid gland is a widely accepted and accurate method for triaging patients with thyroid nodules. For clarity of communication, the bethesda system for reporting thyroid cytopathology recommends that each report begin with one of the six general diagnostic categories. History introduced and formed in 2007, nci thyroid fna state of science conference bethesda, maryland, by various cytopathologists and summarised by baloch et al. The bethesda system for reporting thyroid cytopathology tbsrtc is the offspring of the 2007 national cancer institute state of science. Review the bethesda system for reporting thyroid cytopathology tbsrtc the pathologists perspective individual categories with case examples emphasis on the indeterminate category and potential options the dawn of noninvasive follicular thyroid neoplasm with papillarylike nuclei niftp the updated bethesda system 2017. In comparison with adults, thyroid nodules in the pediatric population are.
Using tbsrtc, cytopathologists can communicate their interpretations to the referring physician in terms that are succinct. Pdf the bethesda system for reporting thyroid cytology tbsrtc was proposed in 2007 at the national cancer institute thyroid fine. Incidentally detected lesions in the surgical specimens that were not the target of the thyroid fna were excluded from the analysis. The recent reclassification of some thyroid neoplasms as noninvasive follicular thyroid neoplasm with papillarylike nuclear features niftp has. It serves as a reference guide not just for pathologists, but also endocrinologists, surgeons, and radiologists. Full text the bethesda system for reporting thyroid cytopathology. The bethesda system for reporting thyroid cytopathology tbsrtc established a standardized, categorybased reporting system for thyroid fineneedle aspiration fna specimens. The recent reclassification of some thyroid neoplasms as noninvasive follicular thyroid neoplasm with papillarylike nuclear features niftp has im plications for. An inspiration for the thyroid proposal was the bethesda system for reporting cervical cytology interpretations, first developed at an nci workshop in 1988 and. The bethesda system for reporting thyroid cytopathology tbsrtc established a standardized, categorybased reporting system for thyroid.
What is the bethesda system for thyroid cytopathology used. It will serve as a reference guide not just for pathologists, but also endocrinologists, surgeons, and radiologists. The most appropriate cytological classification of malignancy risk is the bethesda system for thyroid cytopathology. The bethesda system for reporting thyroid cytopathology will provide the reader with a unified approach to diagnosing and reporting thyroid fna interpretations. The conclusions of the meeting led to the bethesda thyroid atlas project and formed the framework for the bethesda system for reporting thyroid cytology tbsrtc. The first edition of the bethesda system for reporting thyroid cytopathology was published in 2010 and has greatly influenced the practice of thyroid cytopathology. Thyroid fna bethesda classification scheme the bethesda system for reporting thyroid cytopathology. Pdf on jun 21, 2016, archana ticku and others published the bethesda system for reporting thyroid cytopathology. The bethesda system for reporting thyroid cytopathology moderator dr g k parvathidevi presenter dr dhanya a n 2. Bethesda system for reporting thyroid cytopathology. The bethesda system for reporting thyroid cytopathology 2nd edition pdf. Implied risk of malignancy and recommended clinical management open in new tab a repeated aspiration with ultrasound guidance is recommended for nduns and clinically or sonographically worrisome cfo cases and is diagnostic in 50% to 88% of cases, 2, 6, 9, 11, , 14 but some nodules. Additionally, the bethesda system is used for cytopathology of thyroid nodules.
Original research open access diagnostic accuracy of. The proposed histologic reclassification of noninvasive follicular variant of papillary thyroid carcinoma as something other than carcinoma will significantly affect the implied risk of malignancy for the indeterminate diagnostic categories in the bethesda system for reporting thyroid cytopathology. The bethesda system 2010 recommendations for thyroid fine needle aspiration fna reporting also include a specimen adequacy component be present on nongyn cytopathology reports. Definitions, criteria, and explanatory notes ebook description the first edition of the bethesda system for reporting thyroid cytopathology was published in 2010 and has greatly influenced the practice of thyroid cytopathology. The bethesda system 2001 recommendations include a specimen adequacy component be present on gyn cytopathology reports. The bethesda system for reporting cervical cytology.