The Bethesda System for Reporting Thyroid Cytopathology
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Definitions, Criteria and Explanatory Notes
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Beschreibung
Thyroid fine needle aspiration is one of the most commonly performed cytologic procedures and is the standard diagnostic method for managing the patient with a thyroid nodule. Until now, there has been no uniform system for reporting the results of thyroid fine needle aspiration (FNA) in the U.S.
The terminology described in this book is an important advance in the field of cytopathology. It represents the results of the multidisciplinary National Cancer Institute Thyroid Fine Needle Aspiration State of The Science Conference, held in Bethesda, MD in October, 2007.
The Bethesda System for Reporting Thyroid Cytopathology will provide the reader with a unified approach to diagnosing and reporting thyroid FNA interpretations. It will serve as a reference guide not just for pathologists, but also endocrinologists, surgeons, and radiologists.
This atlas is the offspring of the “The National Cancer Institute (NCI) Thyroid Fine Needle Aspiration (FNA) State of the Science Conference,” hosted by the NCI and organized by Dr. Andrea Abati. Preparations for the conference began 18 months earlier with the designation of a steering committee and the establishment of a dedicated, p- manent web site. The meeting took place on October 22 and 23, 2007 in Bethesda, Maryland and was co-moderated by Susan J. Mandel and Edmund S. Cibas. The discussions and conclusions regarding terminology and morphologic criteria 1, 2 from the meeting were summarized in publications by Baloch et al. and form the framework for this atlas. The atlas is organized by the general categories of “Nondiagnostic,” “Benign,” “Follicular Neoplasm/Suspicious for a Follicular Neoplasm”, “Suspicious for Malignancy,” and “Malignant,” and it includes the defi- tions and morphologic criteria of these categories as set forth by Baloch et al. The majority of the conferenceparticipants also agreed on a category of “undetermined significance,” which is incorporated in this atlas (Chap. 4). It is critical that the cytopathologist communicate thyroid FNA interpretations to the referring physician in terms that are succinct, unambiguous, and helpful clinically. We recognize that the terminology used here is a flexible framework that can be modified by individual laboratories to meet the needs of their providers and the patients they serve. More than 140 color illustrations Based upon Bethesda terminology Concise and user-friendly format Includes supplementary material: sn.pub/extras
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Syed Z. Ali
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From the reviews:
“The book maintains a consistent style and tone that makes the recommendations readily accessible and comprehensible. … All chapters are also amply illustrated, with a high standard of photographic quality maintained throughout. … The text is accompanied by outstanding photographs that do a surprisingly good job of illustrating the kinds of cytologic scenarios that lead to the use of this category. … providing an attractive, practical, and concise primer that is sure to be welcomed by students and seasoned professionals … .” (Michael J. Thrall, The ASC Bulletin, Vol. XLVIII (2), March, 2011) ()