Difference between revisions of "Thyroid cytopathology"

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Thyroid cytopathology (view source)

Revision as of 14:42, 3 March 2011

1,109 bytes added ,  14:42, 3 March 2011
→‎Standard sign-out language: +bethesda
(+FLUS)
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==Standard sign-out language==
==Standard sign-out language==
There is a standard way of describing entities on thyroid cytology (from a National Cancer Institute (NCI) consensus conference):<ref name=pmid18478609>{{cite journal |author=Baloch ZW, LiVolsi VA, Asa SL, ''et al.'' |title=Diagnostic terminology and morphologic criteria for cytologic diagnosis of thyroid lesions: a synopsis of the National Cancer Institute Thyroid Fine-Needle Aspiration State of the Science Conference |journal=Diagn. Cytopathol. |volume=36 |issue=6 |pages=425-37 |year=2008 |month=June |pmid=18478609 |doi=10.1002/dc.20830 |url=}}</ref>
There is a standard way of describing entities on thyroid cytopathology result.
 
===Bethesda (2009)===
The NCI classification of 2008 was revised in 2009 and dubbed "The Bethesda System for Reporting Thyroid Cytopathology":<ref name=pmid19888858>{{cite journal |author=Cibas ES, Ali SZ |title=The Bethesda System for Reporting Thyroid Cytopathology |journal=Thyroid |volume=19 |issue=11 |pages=1159–65 |year=2009 |month=November |pmid=19888858 |doi=10.1089/thy.2009.0274 |url=}}</ref>
{| class="wikitable"
|-
! Preferred
! Plain language
! Risk of malignancy
! Usual management
|-
| Benign
| Benign
| ~ 0-3%
| Follow-up, clinical
|-
| Follicular lesion of undetermined significance (FLUS) ''or'' atypia of undetermined significance
| Uncertain, favour benign
| 5-15%
| Repeat FNA
|-
| Follicular neoplasm ''or'' suspicious for follicular neoplasm
| Uncertain, favour malignant
| 20-30%
| Hemithyroidectomy
|-
| Suspicious for malignancy
| Probably malignant
| 60-75%
| Repeat vs. hemithyroidectomy
|-
| Malignant
| Cancer
| ~ 97-99%
| Excise (total thyroidectomy)
|-
| Nondiagnostic or unsatisfactory
| Lesion missed or inadequate
| 1-4%
| Repeat FNA
|}
 
===NCI (2008)===
A National Cancer Institute (NCI) consensus conference in 2008:<ref name=pmid18478609>{{cite journal |author=Baloch ZW, LiVolsi VA, Asa SL, ''et al.'' |title=Diagnostic terminology and morphologic criteria for cytologic diagnosis of thyroid lesions: a synopsis of the National Cancer Institute Thyroid Fine-Needle Aspiration State of the Science Conference |journal=Diagn. Cytopathol. |volume=36 |issue=6 |pages=425-37 |year=2008 |month=June |pmid=18478609 |doi=10.1002/dc.20830 |url=}}</ref>
{| class="wikitable"
{| class="wikitable"
|-
|-
Michael
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