Division of Anatomic Pathology and Histology, Catholic University of Sacred Heart, Rome, Italy.
Department of Pathology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Cytopathology. 2024 Nov;35(6):674-681. doi: 10.1111/cyt.13411. Epub 2024 Jul 26.
The evaluation of thyroid lesions is common in the daily practice of cytology. While the majority of thyroid nodules are benign, in recent decades, there has been increased detection of small and well-differentiated thyroid cancers. Combining ultrasound evaluation with fine-needle aspiration cytology (FNAC) is extremely useful in the management of thyroid nodules. Furthermore, the adoption of specific terminology, introduced by different thyroid reporting systems, has helped effectively communicate thyroid FNAC diagnoses in a clear and understandable way. In 1996, the Papanicolaou Society thyroid cytological classification was introduced. This was followed in 2005 by the first Japanese and then in 2007 by the Bethesda System for Reporting Thyroid Cytopathology, which subsequently underwent two revisions. Other international thyroid terminology classifications include the British, Italian, Australasian and other Japanese cytology systems. This review covers similarities and differences among these cytology classification systems and highlights key points that unify these varied approaches to reporting thyroid FNAC diagnoses.
甲状腺病变的评估在细胞学的日常实践中很常见。虽然大多数甲状腺结节是良性的，但在最近几十年，已经发现越来越多的小而分化良好的甲状腺癌。超声评估与细针抽吸细胞学（FNAC）联合使用，对甲状腺结节的管理非常有用。此外，不同的甲状腺报告系统引入了特定的术语，这些术语以清晰易懂的方式有效地传达了甲状腺 FNAC 诊断。1996 年，引入了 Papanicolaou 学会甲状腺细胞学分类。随后，2005 年日本首次采用，然后在 2007 年采用了 Bethesda 系统报告甲状腺细胞病理学，该系统随后进行了两次修订。其他国际甲状腺术语分类包括英国、意大利、澳大拉西亚和其他日本细胞学系统。这篇综述涵盖了这些细胞学分类系统之间的相似点和不同点，并强调了统一这些不同方法报告甲状腺 FNAC 诊断的关键点。
