Tiroid nodüllerine güncel yaklaşım: Bethesda sınıflaması

Abstract

İnce iğne aspirasyon biyopsisi genellikle tiroid nodüllerinin sitolojik tanısı için ilk adımdır. Yaygın olarak kullanılan bu prosedürün doğru değerlendirilmesi önemlidir. Bir tiroid ince iğne aspirasyon biyopsisi raporu için, sitopatologların anlamı, hastalık klinisyeni anladığı gibi olmalıdır. Bu amaçla bazı komiteler tarafından hazırlanan bazı algoritmalar vardır. Bu makale sitopatolog-klinisyen iletişimini kolaylaştıran kavramlara ve özellikle de tiroit sitopatolojisini raporlamak İçin Bethesda sistemine odaklanmıştır.

Keywords

• Tiroid nodülü,ince iğne biyopsisi,sitopatolog-klinisyen iletişimi

Current approach to thyroid nodules: the Bethesta classification

Abstract

Fine needle aspiration biopsy is generally first step for the cytological diagnoses of thyroid nodules. Evaluation of this commonly used procedure accurately is important. For a thyroid fine needle aspiration biopsy report, the disease that cytopathologists means should be the same as the disease clinician understands. For this purpose there are some algorithms prepared by some committees. This article focused on concepts facilitating the cytopathologists-clinician communication and especially Bethesda system for reporting thyroid cytopathology.

Keywords

• Thyroid nodule,fine needle biopsy,cytopatolog-clinician communication

References

1. 1. Kuzey GM (Editor). Basic pathology. Ankara: Güneş Bookstore2007: 757-66.
2. 2. Nguyen GK, Ginsberg J, Crockford PM. Fine-needle aspiration biopsy cytology of the thyroid. Its value and limitations in the diagnosis and management ofsolitary thyroid nodules, Pathol Annu 1991; 26: 63-9.
3. 3.Vander JB, Gaston EA, Dawber TR. The significance of nontoxic thyroid nodules. Final report of a 15-year study of the incidence of thyroid malignancy. Ann Intern Med 1968; 69: 537–40.
4. 4. Davies L, Welch HG. Current thyroid cancer trends in the United States. JAMA Otolaryngol Head Neck Surg 2014; 140: 317–22.
5. 5. Solbiati L, Osti V, Cova L, Tonolini M. Ultrasound of thyroid, parathyroid glands and neck lymph nodes. Eur Radiol 2001; 11: 2411-24.
6. 6.Kwak JY, Han KH, Yoon JH, et al. Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk. Radiology 2011; 260: 892–9.
7. 7.Jeh SK, Jung SL, Kim BS, Lee YS. Evaluating the degree of conformity of papillary carcinoma and follicular carcinoma to the reported ultrasonographic findings of malignant thyroid tumor. Korean J Radiol 2007; 8: 192–7.
8. 8.Danese D, Sciacchitano S, Farsetti A, Andreoli M, Pontecorvi A. Diagnostic accuracy of conventional versus sonography-guided fine-needle aspiration biopsy of thyroid nodules. Thyroid 1998; 8: 15–21.

9. 9.Layfield LJ, Abrams J, Cochand-Priollet B, et al. Post-thyroid FNA testing and treatment options: a synopsis of the National Cancer Institute Thyroid Fine Needle Aspiration State of the Science Conference. Diagn Cytopathol 2008; 36: 442–8.
10. 10. Layfield LJ, Cibas ES, Gharib H. Thyroid aspiration cytology: current status. CA Cancer J Clin 2009; 59: 99-110.
11. 11. Beloch ZW, LiVasoli VA, Asa SL, et al. Diagnostic terminology and morphologyc criteria for cytologic diagnosis of thyroid lesions: a synopsis of the National Cancer Institute Thyroid Fine Needle Aspiration State of the Science Conference, Diagn Cytopathol 2008; 36: 425-37.
12. 12. Haugen BR, Alexander EK, Bible KC, et al. American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid 2015; 26: 1.
13. 13. Gharib H, Papini E, Garber JR, et al. AACE/ACE/AME Task Force on Thyroid Nodules. American Association of Clinical Endocrinologists, American College of Endocrinology, and Associazione Medici Endocrinologi. Medical guidelines for clinical practice for the diagnosis and management of thyroid nodules--2016 update. Endocr Pract 2016; 22: 622-39.