Correlación entre el sistema Bethesda de nódulos tiroideos y el diagnóstico histopatológico postiroidectomía
| Autor: | Raúl Alvarado-Bachmann, Beatriz de Rienzo-Madero, Gabriel Kraus-Fischer, Mariana de la Vega-de la Peña, Carlos Zerrweck-López, Edgar Núñez-García |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Thyroid nodules
Gynecology congenital hereditary and neonatal diseases and abnormalities education.field_of_study medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Bethesda system Population Thyroidectomy nutritional and metabolic diseases General Medicine medicine.disease Thyroid carcinoma Fine-needle aspiration stomatognathic system Cytopathology medicine Atypia education business |
| Zdroj: | Revista M�dica del Instituto Mexicano del Seguro Social. 58 |
| ISSN: | 0443-5117 |
| Popis: | Background Thyroid nodules are a common clinical condition. Thyroid nodules may be identified with ultrasonography in roughly 50% of the population. The risk of malignancy varies between 4 and 15% of the nodules. Fine needle aspiration (FNA) with a cytopathology report using the Bethesda system is the most utilized methods to diagnose thyroid carcinoma. Material and mehotds A retrospective, descriptive study was performed to investigate the correlation between the cytopathology of the FNA biopsies, and the final histopathology after thyroidectomy. Results A total of 128 nodules in 128 patients were studied; 24 males and 104 females. In the Bethesda category I, a 67% malignancy rate was reported, Bethesda II 14%, Bethesda III 28% for follicular lesions and 15% for atypia, Bethesda IV 36%, Bethesda V 79% and Bethesda VI 100%. Conclusion The Bethesda system has been widely adopted internationally and has become an unassailable tool for the pathologist and clinicians for the evaluation and management of thyroid nodules. Since its implementation in the ABC Medical Center, the Bethesda system has granted the institution with favorable and reproducible results. |
| Databáze: | OpenAIRE |
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