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Review of a single institution's fine needle aspiration results for thyroid nodules: Initial observations and lessons for the future
Author(s) -
Ronen Ohad,
Cohen Hector,
Abu Mor
Publication year - 2019
Publication title -
cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.512
H-Index - 48
eISSN - 1365-2303
pISSN - 0956-5507
DOI - 10.1111/cyt.12739
Subject(s) - medicine , histopathology , malignancy , thyroid , thyroid nodules , cytopathology , fine needle aspiration , radiology , general surgery , pathology , biopsy , cytology
Objective Our objective was to evaluate the disease spectrum of thyroid cytopathology and correlation of the Bethesda reporting system with final histopathology in our medical centre. Methods This retrospective study was conducted from histopathology reports from Galilee Medical Center between August 2013 and September 2017. Results A total of 287 thyroid fine needle aspirations were included in the study. The majority (55.1%) of these were benign (B2). Surgery was performed on 53 cases and the total malignancy rate was 39.6%. Our study had a favourable accuracy rate of 70%. A B4 Bethesda category had a higher malignancy rate (50%) than previously reported. Conclusion We found a higher malignancy rate (50%) based on the Bethesda B4 category of the fine needle aspirations in our series, yet it is based on a small sample. The differences in malignancy rates between centres have an important impact on clinical decisions.