Kumarasinghe M Priyanthi
Department of Anatomical Pathology, PathWest Laboratory Medicine, Discipaline of Pathology and Laboratory Medicine, University of Western Australia, QEII Medical Centre, Nedlands, Australia.
Gland Surg. 2020 Oct;9(5):1639-1647. doi: 10.21037/gs-2019-catp-25.
Universally accepted guidelines for diagnosis and management of any disease are desirable. Standardization of thyroid cytology reporting is aimed at guiding and improving clinical decision-making and management. However, socio-economic, and local factors and differences in disease prevalence and patterns require modification to suit local settings. 'One size fit all' approach is not possible for any disease diagnosis or management. The same concept is applicable in diagnosis and management of thyroid nodules. An additional special issue is the well-known high inter and intra-observer variability in the histological and cytological diagnosis of thyroid neoplasms. Despite this, thyroid cytology has a very significant influence in the management of thyroid diseases. An approach based on common principals with appropriate modifications that suits countries or continents is desirable and sustainable. The principals of TBSRTC have served as a framework for similar tiered classifications for reporting thyroid cytopathology. This article discusses globally available professional guidelines based on a common framework with appropriate modifications, with the universal aim of risk stratification of thyroid nodules.
对于任何疾病，都需要有普遍接受的诊断和管理指南。甲状腺细胞病理学报告的标准化旨在指导和改善临床决策与管理。然而，社会经济、当地因素以及疾病患病率和模式的差异需要进行调整以适应当地情况。对于任何疾病的诊断或管理，“一刀切”的方法是行不通的。同样的概念适用于甲状腺结节的诊断和管理。另一个特殊问题是，在甲状腺肿瘤的组织学和细胞学诊断中，观察者之间和观察者内部存在众所周知的高变异性。尽管如此，甲状腺细胞病理学在甲状腺疾病的管理中仍具有非常重要的影响。一种基于共同原则并进行适当修改以适合各个国家或各大洲的方法是可取且可持续的。TBSRTC的原则已成为报告甲状腺细胞病理学的类似分层分类的框架。本文讨论基于共同框架并进行适当修改的全球可用专业指南，其普遍目标是对甲状腺结节进行风险分层。
