中国实用内科杂志2017，Vol.37Issue(5)：452-455,4.DOI:10.19538/j.nk2017050124
甲状腺细胞病理学Bethesda报告系统用于甲状腺结节诊断临床研究
Application of the Bethesda system for reporting thyroid cytopathology in the diagnosis of thyroid nodule
摘要
Abstract
Objective To investigate the clinical features of the Bethesda system for reporting thyroid cytopathology (TBSRTC) in the diagnosis of thyroid nodules.Methods A total of 1667 consecutive cases of thyroid fine needle aspiration (FNA) records interpretated according to TBSRTC during the period from May 2009 to December 2013 were retrospectively reviewed.Clinical data of 199 consecutive patients and the size of their 215 nodules were recorded.Results The 1667 FNAs results included 28.7％ non-diagnostic,55.8％ benign,6.8％ atypical follicular lesion of undetermined significance (AUS),1.9％ suspicious for follicular neoplasm (FN),4.1％ suspicious for malignancy (SM),and 2.6％ malignant.Further analysis on nodule size showed that the rate of non-diagnostic FNA lesion was the highest (64.3％) in nodules with maximal diameter ＜0.5 cm.The rate of benign FNA lesion increased with its size.The maximal diameter of most suspicious for malignancy and malignancy FNA lesions was in the range of 0.5-2.0 cm.Conclusions The Bethesda system standardizes the report of thyroid cytopathology and assists in the management approaches of thyroid nodule.关键词
甲状腺结节/细胞学,Bethesda/细针穿刺Key words
thyroid nodule/cytology, bethesda/fine needle aspiration分类
医药卫生引用本文复制引用
褚晓秋,徐书杭,王雅琳,刘彬彬,陈国芳,杨昱,刘超..甲状腺细胞病理学Bethesda报告系统用于甲状腺结节诊断临床研究[J].中国实用内科杂志,2017,37(5):452-455,4.基金项目
江苏省“六大人才高峰”第十批高层次人才选拔培养项目(NO 2013-WSN-063) （NO 2013-WSN-063）
国家自然科学基金(81200577) （81200577）
