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Research Paper | Pathology | India | Volume 12 Issue 7, July 2023

A Comprehensive Analysis of Thyroid Lesions: Cytomorphological Study and Categorization using the Bethesda System in a Tertiary Care Hospital

Dr. Rahul Modi | Dr. Krutika Patel | Dr. Mubin Patel

Abstract: Thyroid disorders are among the most commonendocrine disorder encountered in routine clinical practice. Evaluating thyroid lesions and reaching a clinical diagnosis can be challenging. FNAC (Fine needle aspiration cytology) of thyroid is commonly used and highly effective tool for diagnosis and managing patients with thyroid nodules. This study, conducted in department of pathology, at Government Medical College, Surat,aims to report on thyroid cytology smears categorized The Bethesda system of thyroid cytopathology TBSRTC and to correlate these with histopathological findings. FNAC was performed on total 175 cases presented with thyroid swelling and these cases were categorized according to TBSRTC. The cytological diagnosis was than correlated histopathologically. Results: FNAC was carried out in 175 cases, diagnostic categories includes 8% non-diagnostic, 82.28% benign, 2.80% Atypia of Undetermined Significance or Follicular Lesion of Undetermined Significance, 0.5% follicular neoplasm or suspicious for follicular neoplasm, 4% suspicious for malignancy and 2.28% malignant lesions. Subsequent histopathological correlation was possible in 44 cases. Conclusion: Standardized categorical Bethesda systems for reporting thyroid FNAC can make results easier to understand and interpret for clinicians and give clear indications for therapeutic action.

Keywords: Bethesda System, Fine Needle Aspiration Cytology, Histopathology

Edition: Volume 12 Issue 7, July 2023,

Pages: 1954 - 1958