Reporting fine needle aspiration cytopathology (FNAC)‎ of thyroid lesion per guidelines of recent bethesda system for reporting thyroid cytopathology markedly reduces number of un necessary thyroidectomies

العناوين الأخرى

كتابة تقارير الفحوصات الخلوية حسب توجيهات و مبادئ بثيسدا يقلل من عدد عمليات رفع الغدة الدرقية غير الضرورية

المؤلفون المشاركون

al-Jabburi, Husayn Abbadi
Ahmad, Basim Shihab
Gaidan, Habbah Ahmad

المصدر

Medical Journal of Babylon

العدد

المجلد 14، العدد 2 (30 يونيو/حزيران 2017)، ص ص. 309-316، 8ص.

الناشر

جامعة بابل كلية الطب

تاريخ النشر

2017-06-30

دولة النشر

العراق

عدد الصفحات

8

التخصصات الرئيسية

الطب البشري

الملخص EN

Estimation of accuracy of fine needle aspiration cytopathology (FNAC) of thyroid in diagnosis of different thyroid lesions, and evaluation of the value of reporting FNAC per guidelines of Bethesda system in reducing the number of un necessary thyroidectomies.

This is a case control prospective study conducted on 221 patients with thyroid nodule[s].

Patient were recruited to Cytopathology Department, Al-Yarmouk Teaching Hospital in the period from January 2014 to March 2017.

Results of FNAC were reported per recent Bethesda System for Reporting of Thyroid Cytopathology (TBSRTC).

Final diagnoses were determined by histopathology of surgically removed thyroid tissues.

Females were more than males with a ratio of 5.31/1, median age was 45.67±3.1 years.

Twelve of cases (5.43%) categorized as nondiagnostic/ unsatisfactory samples, 128 (57.92%) as benign, and 29 (13.13%) as atypia of undetermined significance/atypical follicular lesion of undetermined significance (AUS/AFLUS), 34 (15.38%) as follicular neoplasm/suspected follicular neoplasm (FN/SFN), 5 (2.26%) as suspicious for malignancy, and 13 cases (5.88%) as malignant.

Histopathology found 2 cases from cytopathological benign category, 7 from AUS/AFLUS, 11 from FN/SFN, 3 from SFM, and twelve from malignantcategory to be malignant.

FNAC achieved a sensitivity of 85.71%, specificity of 99.21%, positive predictive value of 92.31%, negative predictive value of 98.44%, and total accuracy of 97.87%.

Reporting thyroid cytopathology per Bethesda system increases sensitivity, specificity, accuracy of thyroid cytopathology, increases understanding of reporting system by clinician, improves management plans, and reducing number of un necessary thyroidectomies.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

al-Jabburi, Husayn Abbadi& Ahmad, Basim Shihab& Gaidan, Habbah Ahmad. 2017. Reporting fine needle aspiration cytopathology (FNAC) of thyroid lesion per guidelines of recent bethesda system for reporting thyroid cytopathology markedly reduces number of un necessary thyroidectomies. Medical Journal of Babylon،Vol. 14, no. 2, pp.309-316.
https://search.emarefa.net/detail/BIM-795426

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

al-Jabburi, Husayn Abbadi…[et al.]. Reporting fine needle aspiration cytopathology (FNAC) of thyroid lesion per guidelines of recent bethesda system for reporting thyroid cytopathology markedly reduces number of un necessary thyroidectomies. Medical Journal of Babylon Vol. 14, no. 2 (2017), pp.309-316.
https://search.emarefa.net/detail/BIM-795426

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

al-Jabburi, Husayn Abbadi& Ahmad, Basim Shihab& Gaidan, Habbah Ahmad. Reporting fine needle aspiration cytopathology (FNAC) of thyroid lesion per guidelines of recent bethesda system for reporting thyroid cytopathology markedly reduces number of un necessary thyroidectomies. Medical Journal of Babylon. 2017. Vol. 14, no. 2, pp.309-316.
https://search.emarefa.net/detail/BIM-795426

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references : p. 314-316

رقم السجل

BIM-795426