Transcription of The Bethesda System for Reporting Thyroid Cytopathology
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The Bethesda System for Reporting Thyroid Cytopathology
658 Am J Clin Pathol 2009;132:658-665658 DOI: American Society for Clinical PathologyAJCP / Special ArticleThe Bethesda System for Reporting Thyroid CytopathologyEdmund S. Cibas, MD,1 and Syed Z. Ali, MD2 Key Words: Thyroid ; Cytology; Fine-needle aspiration; TerminologyDOI: address terminology and other issues related to Thyroid fine-needle aspiration (FNA), the National Cancer Institute (NCI) hosted the NCI Thyroid FNA State of the Science Conference. The conclusions regarding terminology and morphologic criteria from the NCI meeting led to the Bethesda Thyroid Atlas Project and form the framework for The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC). For clarity of communication, TBSRTC recommends that each report begin with 1 of 6 general diagnostic categories.
with benign nodules and appropriately triages patients with thyroid cancer to appropriate surgery. Before the routine use of thyroid FNA, the percentage of surgically resected thyroid nodules that were malignant was 14%.1 With current thyroid FNA practice, the percentage of resected nodules that are malignant surpasses 50%.2
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