Al-Hamadani, D., Hussein, A. (2023). Evaluation of Thyroid Nodules by the Bethesda System for Reporting Thyroid Cytopathology (TBSRTC). Alustath, 22(2), 177-182. doi: 10.52573/ipmj.2023.180587
Dima Al-Hamadani; Alaa G. Hussein. "Evaluation of Thyroid Nodules by the Bethesda System for Reporting Thyroid Cytopathology (TBSRTC)". Alustath, 22, 2, 2023, 177-182. doi: 10.52573/ipmj.2023.180587
Al-Hamadani, D., Hussein, A. (2023). 'Evaluation of Thyroid Nodules by the Bethesda System for Reporting Thyroid Cytopathology (TBSRTC)', Alustath, 22(2), pp. 177-182. doi: 10.52573/ipmj.2023.180587
Al-Hamadani, D., Hussein, A. Evaluation of Thyroid Nodules by the Bethesda System for Reporting Thyroid Cytopathology (TBSRTC). Alustath, 2023; 22(2): 177-182. doi: 10.52573/ipmj.2023.180587

Evaluation of Thyroid Nodules by the Bethesda System for Reporting Thyroid Cytopathology (TBSRTC)

Iraqi Postgraduate Medical Journal
Volume 22, Issue 2, April 2023, Pages 177-182    PDF (187.48 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2023.180587
Authors
Dima Al-Hamadani; Alaa G. Hussein
Department of Pathology, Al-Imamain Al-Kadhmain Medical City, Baghdad, Iraq
Abstract
ABSTRACT:
BACKGROUND:
The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) was introduced to standardize terminology used in reporting thyroid cytology. The Bethesda system used six categories for thyroid cytology reporting. Each diagnostic category is linked to a certain risk of malignancy and recommended clinical management.
AIMS:
To evaluate FNAC in thyroid nodules based on the Bethesda system for thyroid cytopathology.
SETTINGS AND DESIGN:
A cross-sectional study.
METHODS AND MATERIAL:
Study conducted in Al-Imammain Al-Kadhimian (AS) Medical City in period from 1st Jan 2019 – 1st August 2019. We performed FNAC either directly or under U/S guide, and all slides were examined by one cytopathologist and residents of histo- cytopathology.
RESULTS:
There were 357 patients who enrolled in this study. Their mean age was 44.25 ± 13.49 years. Female patients represent 88.8% of total patients with male to female ratio is 1:6. The non-diagnostic sample (Bethesda I) was found in 66 (18.5%) patients, the benign thyroid lesion (Bethesda II) was found in 217 (60.8%), atypia of undetermined significance (Bethesda III) was found in 34 (9.5%), follicular neoplasm or suspicious for follicular neoplasm (Bethesda IV) was found in 38 (10.6%), and suspicious for malignancy (Bethesda V) was found in 2 (0.6%), while no case was diagnosed with malignancy (Bethesda VI). The higher value of TSH is associated with lower Bethesda score; also, the higher value of T4 is associated with lower Bethesda score too. There were 16 (4.5%), 74 (20.7%), 10 (2.8%), and 11 (3.1%) of patients that presented with nodular surface of thyroid gland that were diagnosed with I, II, III, and IV Bethesda system respectively.
CONCLUSION:
Bethesda system gave us a uniform terminology in reporting thyroid cytopathology. The most frequent category was category II. Thyroid nodules presented in older age group compared to other studies. Most of thyroid nodules are benign rather than malignant.
 
 
Keywords
Bethesda system; Thyroid Nodules; TBSRTC
References
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