By Zubair W. Baloch M.D., Ph.D. (auth.), Syed Z. Ali, Edmund S. Cibas (eds.)
Thyroid tremendous needle aspiration is among the most typically played cytologic techniques and is the normal diagnostic strategy for coping with the sufferer with a thyroid nodule. beforehand, there was no uniform method for reporting the result of thyroid effective needle aspiration (FNA) within the U.S.
The terminology defined during this ebook is a crucial develop within the box of cytopathology. It represents the result of the multidisciplinary National melanoma Institute Thyroid high quality Needle Aspiration nation of The technological know-how Conference, held in Bethesda, MD in October, 2007.
The Bethesda procedure for Reporting Thyroid Cytopathology will give you the reader with a unified method of diagnosing and reporting thyroid FNA interpretations. it's going to function a reference consultant not only for pathologists, but in addition endocrinologists, surgeons, and radiologists.
Read or Download The Bethesda System for Reporting Thyroid Cytopathology: Definitions, Criteria and Explanatory Notes PDF
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Extra info for The Bethesda System for Reporting Thyroid Cytopathology: Definitions, Criteria and Explanatory Notes
Sample text
When crowded groups predominate, they raise the possibility of a follicular neoplasm, but extensive clotting raises uncertainty about the findings. The distinction between a “Nondiagnostic” and an AUS specimen rests on the judgment of the cytopathologist based on an assessment of the entire sample and the extent of the artifact (smear, Papanicolaou stain). F. Krane et al. is difficult to be sure that the cytologic changes are entirely artifactual in origin, and in such cases AUS is an appropriate diagnosis.
Elsheikh et al. 4. Benign follicular nodule. Predominantly monolayered sheets of follicular cells are admixed with occasional pigment-laden macrophages. Stripped follicular cell nuclei are present in the background. Orange-pink watery colloid admixed with blood is difficult to recognize in the background (smear, Papanicolaou stain). 5. Benign follicular nodule. Three-dimensional, variably sized balls/ spheres are admixed with flat sheets. Within the spheres there is maintenance of polarity, including a relatively evenly spaced nuclear arrangement (a.
Gharib H, Goellner JR. Fine-needle aspiration biopsy of the thyroid: an appraisal. Ann Int Med. 1993;118:282-289. 30. Yeh MW, Demircan O, Ituarte P, Clark OH. False-negative fine-needle aspiration cytology results delay treatment and adversely affect outcome in patients with thyroid carcinoma. Thyroid. 2004;14(3):207-215. 31. Tee YY, Lowe AJ, Brand CA, Judson RT. Fine-needle aspiration may miss a third of all malignancy in palpable thyroid nodules: a comprehensive literature review. Ann Surg. 2007;246(5):714-720.