Changes in thyroid cytology reporting in the 3rd edition of the Bethesda system
Language English Country Czech Republic Media print
Document type Journal Article, Review
PubMed
38697829
PII: 137112
Knihovny.cz E-resources
- Keywords
- thyroid nodules, neoplasms of thyroid gland, FNAB of thyroid gland, thyroid cancer, The Bethesda system for reporting thyroid cyto-logy 2023,
- MeSH
- Humans MeSH
- Thyroid Neoplasms * pathology diagnosis classification MeSH
- Thyroid Gland pathology MeSH
- Biopsy, Fine-Needle MeSH
- Terminology as Topic MeSH
- Thyroid Nodule * pathology diagnosis classification MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
Reporting fine-needle aspiration of thyroid nodules in the Bethesda classification is a practice widely used internationally and by us. The revised third edition of the Bethesda System of Reporting Thyroid Cytopathology brings changes in terminology, content, and new chapters. In terms of terminology, an obvious change is the removal of the two-word names of three categories while maintaining the six diagnostic categories of the previous versions - new: BI - non-diag- nostic, BIII - atypia of undetermined significance, BIV - follicular neoplasia. In the detailed description of the findings within the individual categories, the ter- minological changes adopted by the fifth edition of the WHO classification of thyroid neoplasia are respected - in particular, the recommended name follicular thyroid nodular disease for the most frequently represented category BII - benign. In the evaluation itself, the diagnostic specifications accepted by the current WHO classification of histopathological findings are reflected in the individual categories - if they are applicable at the cytological level. Targeted attention will need to be paid to high grade features. The revised version brings new chapters dedicated to molecular testing and evaluation of the paediatric population.