Dušková Jaroslava
Cesk Patol. 2019 Winter;55(1):13-23.
Fine-needle aspiration biopsy (FNAB) has become an established procedure for the basic examination of thyroid nodules, which remain common in our population. The widely used Bethesda system for reporting thyroid cytopathology has undoubtedly contributed to the understanding among clinicians and cytopathologists. Since its publication in 2010, the systems overall applicability has been tested by many studies and reclassification of follicular thyroid tumours has occurred. The consensus embedded in the latest version of the WHO classification was the impetus for a revision of the very successful Bethesda 2010 system in 2017. We present a brief overview of the changes in the persistent categories of the original classification to the newly established format along with practical recommendations for routine FNAB diagnostics of thyroid lesions.
细针穿刺活检(FNAB)已成为甲状腺结节基础检查的既定程序,甲状腺结节在我国人群中仍然很常见。广泛使用的甲状腺细胞病理学报告贝塞斯达系统无疑有助于临床医生和细胞病理学家之间的理解。自2010年发布以来,该系统的整体适用性已通过多项研究进行了检验,并且发生了滤泡性甲状腺肿瘤的重新分类。2017年,世界卫生组织分类最新版本中所包含的共识推动了非常成功的2010年贝塞斯达系统的修订。我们简要概述了从原始分类的持续类别到新确立格式的变化,以及甲状腺病变常规FNAB诊断的实用建议。