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ISSN 1561-3186 (Electronic)

2019, Number 3

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Rev Acta Médica 2019; 20 (3)

Characterization of cytological thyroid samples according to Bethesda consensus and histologic diagnosis

Dussac BGV, Tamargo BTO, Quesada PS

Language: Spanish
References: 43
Page: 1-17
PDF size: 231.74 Kb.


ABSTRACT

Introduction: Thyroid nodular disease manifests itself as thyroid nodules of solid, liquid or mixed consistency, palpable or not, and it is a challenge to make an accurate diagnosis of a benign or malignant disease.
Objective: To characterize the samples collected by fine-needle aspiration cytology of the thyroid, according to the cytological diagnosis, Bethesda classification and histology.
Methods: A diagnostic evaluation research was carried out in the Pathological Anatomy Department of Hermanos Ameijeiras Clinical-Surgical Hospital, between December 2015 and December 2016. The sample was 115 results of fine-needle aspiration cytology (113 patients). In each report, the cytological diagnosis was reviewed and the Bethesda classification was applied. In the statistical analysis, the mean was used with its standard deviation and percentages.
Results: The average age was 53.9±14.4 years, with 65.5% of female patients. 70.4% of the cytology samples were not useful. According to Bethesda and cytology, 70.4% was classified as I. In relation to the biopsy diagnosis and Bethesda classification, a follicular hyperplasia was classified into category I. In class V, a high suspicion of lymphoma was diagnosed. Papillary carcinoma occurred in 2 cases (group VI).
Conclusions: The Bethesda classification proved to be useful, because all the cytological and histological malignant diagnoses were classified into the categories IV, V, or VI. Its use is recommended to avoid an unnecessary number of surgeries.


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