103 295

Cited 16 times in

Incidence and malignancy rates of diagnoses in the bethesda system for reporting thyroid aspiration cytology: an institutional experience.

 Ji Hye Park  ;  Sun Och Yoon  ;  Eun Ju Son  ;  Hye Min Kim  ;  Ji Hae Nahm  ;  Soon Won Hong 
 KOREAN JOURNAL OF PATHOLOGY , Vol.48(2) : 133-139, 2014 
Journal Title
Issue Date
Biopsy, fine-needle ; Incidence ; Pathology ; Terminology ; Thyroid
BACKGROUND: The Bethesda System for Reporting Thyroid Cytopathology (BSRTC) uses six diagnostic categories to standardize communication of thyroid fine-needle aspiration (FNA) interpretations between clinicians and cytopathologists. Since several studies have questioned the diagnostic accuracy of this system, we examined its accuracy in our hospital. METHODS: We calculated the incidences and malignancy rates of each diagnostic category in the BSRTC for 1,730 FNAs that were interpreted by four cytopathologists in Gangnam Severance Hospital between October 1, 2011, and December 31, 2011. RESULTS: The diagnostic incidences of categories I-VI were as follows: 13.3%, 40.6%, 9.1%, 0.4%, 19.3%, and 17.3%, respectively. Similarly, the malignancy rates of these categories were as follows: 35.3%, 5.6%, 69.0%, 50.0%, 98.7%, and 98.9%, respectively. In categories II, V, and VI, there were no statistically significant differences in the ranges of the malignancy rates among the four cytopathologists. However, there were significant differences in the ranges for categories I and III. CONCLUSIONS: Our findings suggest that institutions that use the BSRTC should regularly update their diagnostic criteria. We also propose that institutions issue an annual report of incidences and malignancy rates to help other clinicians improve the case management of patients with thyroid nodules.
Files in This Item:
T201405886.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hye Min(김혜민) ORCID logo https://orcid.org/0000-0002-2899-9480
Son, Eun Ju(손은주) ORCID logo https://orcid.org/0000-0002-7895-0335
Yoon, Sun Och(윤선옥) ORCID logo https://orcid.org/0000-0002-5115-1402
Hong, Soon Won(홍순원) ORCID logo https://orcid.org/0000-0002-0324-2414
사서에게 알리기


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.