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Prognostic role of the Bethesda System for conventional papillary thyroid carcinoma

Authors
 Hye Mi Gweon  ;  Hye Ryoung Koo  ;  Eun Ju Son  ;  Jeong-Ah Kim  ;  Ji Hyun Youk  ;  Soon Won Hong  ;  Beom Jin Lim 
Citation
 Head & Neck, Vol.38(10) : 1509-1514, 2016 
Journal Title
 Head & Neck 
ISSN
 1043-3074 
Issue Date
2016
MeSH
Carcinoma, Papillary/classification ; Carcinoma, Papillary/pathology* ; Carcinoma, Papillary/surgery ; Endoscopic Ultrasound-Guided Fine Needle Aspiration ; Female ; Humans ; Lymphatic Metastasis ; Male ; Middle Aged ; Neoplasm Invasiveness/pathology ; Prognosis ; Thyroid Gland/pathology ; Thyroid Neoplasms/classification ; Thyroid Neoplasms/pathology* ; Thyroid Neoplasms/surgery ; Thyroidectomy
Keywords
Bethesda System for Reporting Thyroid Cytopathology ; fine-needle aspiration biopsy ; papillary thyroid carcinoma ; prognosis ; thyroid
Abstract
BACKGROUND: The purpose of this study was to investigate the role of the Bethesda System for Reporting Thyroid Cytopathology (BSRTC) as a prognostic marker in conventional papillary thyroid carcinoma (PTC). METHODS: A total of 397 patients who underwent ultrasound-guided fine-needle aspiration biopsy (FNAB) and surgery for conventional PTCs were enrolled. The association between the Bethesda category and histopathologic result was evaluated. RESULTS: Among the Bethesda categories, a significant difference was found in the presence of extrathyroidal extension (Bethesda category III, 3.2% [7 of 220]; category V, 19.1% [42 of 220]; and category VI, 77.7% [171 of 220]; p < .001) and lymph node metastasis (Bethesda category III, 3.8% [6 of 156]; category V, 16.7% [26 of 156]; and category VI, 79.5% [124 of 156]; p < .001). Multivariate analysis showed that the Bethesda category was independently predictive of extrathyroidal extension (p = .013) and lymph node metastasis (p = .035). CONCLUSION: Conventional PTC with a higher Bethesda category at the time of cytology diagnosis would be poor prognosis.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/hed.24466/abstract
DOI
10.1002/hed.24466
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
권혜미(Gweon, Hye Mi) ORCID logo https://orcid.org/0000-0002-3054-1532
김정아(Kim, Jeong Ah) ORCID logo https://orcid.org/0000-0003-4949-4913
손은주(Son, Eun Ju) ORCID logo https://orcid.org/0000-0002-7895-0335
육지현(Youk, Ji Hyun) ORCID logo https://orcid.org/0000-0002-7787-780X
임범진(Lim, Beom Jin) ORCID logo https://orcid.org/0000-0003-2856-0133
홍순원(Hong, Soon Won) ORCID logo https://orcid.org/0000-0002-0324-2414
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152332
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