Collins Jennifer, Rossi Esther Diana, Chandra Ashish, Ali Syed Z
Department of Pathology, University of Maryland Medical Center, Baltimore, Maryland.
Division of Anatomic Pathology and Histology, Policlinico Agostino Gemelli, Univerista Cattolica del Sacro Cuore, Rome, Italy.
Semin Diagn Pathol. 2015 Jul;32(4):258-63. doi: 10.1053/j.semdp.2014.12.007. Epub 2014 Dec 19.
The clinical management of thyroid nodules begins with a cytologic diagnosis. Current multidisciplinary approaches to thyroid nodule management rely on clear and concise diagnoses that can be reliably and reproducibly interpreted across institutions. Ultimately, this clinical necessity has led to multidisciplinary bodies throughout the world to develop standardized reporting formats which have themselves evolved over time. Herein we review the three major international nomenclatures for reporting thyroid cytopathology, including, the British Thyroid Association and Royal College of Pathologists (Thy), the Italian Consensus (TIR) and the Bethesda System for Reporting Thyroid Cytopathology. Alignment of these three diagnostic terminologies and the emergence of a single internationally agreed upon one has the potential to lead to more succinct, evidence-driven clinical management algorithms.
甲状腺结节的临床管理始于细胞诊断。目前甲状腺结节管理的多学科方法依赖于清晰简洁的诊断，这些诊断能够在不同机构间得到可靠且可重复的解读。最终，这种临床需求促使全球各地的多学科机构制定标准化报告格式，这些格式也随着时间不断演变。在此，我们回顾三种主要的甲状腺细胞病理学报告国际命名法，包括英国甲状腺协会和皇家病理学家学院（Thy）、意大利共识（TIR）以及甲状腺细胞病理学报告贝塞斯达系统。这三种诊断术语的统一以及达成单一国际公认的术语，有可能带来更简洁、基于证据的临床管理算法。
