Schinstine Malcolm
Hawaii Med J. 2010 Jul;69(7):176-8.
Fine needle aspiration has become the most prominent, and the easiest way, to morphologically evaluate lesions of the thyroid. When done correctly, the sensitivity and specificity of thyroid aspirates for detecting malignancy is very high. Unfortunately, clinicians are sometimes confused by the terminology used in thyroid cytopathology reports. One way to mitigate confusion is for all pathologists to use the same diagnostic criteria and terminology. Standardized terminology for thyroid cytopathology reports has recently been proposed. The following article introduces the concept of the Bethesda System for reporting thyroid aspirates. Sample diagnoses are given to illustrate how thyroid cytopathology reports may appear using the Bethesda System.
细针穿刺已成为对甲状腺病变进行形态学评估的最主要且最简便的方法。操作正确时，甲状腺穿刺物检测恶性肿瘤的敏感性和特异性非常高。不幸的是，临床医生有时会被甲状腺细胞病理学报告中使用的术语弄糊涂。减少混淆的一种方法是让所有病理学家使用相同的诊断标准和术语。最近已提出甲状腺细胞病理学报告的标准化术语。以下文章介绍了甲状腺穿刺物报告的贝塞斯达系统的概念。给出了示例诊断，以说明使用贝塞斯达系统时甲状腺细胞病理学报告可能的样子。
