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  • Inabnet, William B.,3rdDepartment of Surgery, University of Kentucky College of Medicine, Lexington, KY, USA (author)

Correlating the Bethesda System for Reporting Thyroid Cytopathology with Histology and Extent of Surgery : A Review of 21,746 Patients from Four Endocrine Surgery Registries Across Two Continents

  • Article/chapterEnglish2020

Publisher, publication year, extent ...

  • 2019-11-05
  • Springer,2020
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:oru-77884
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-77884URI
  • https://doi.org/10.1007/s00268-019-05258-7DOI
  • https://lup.lub.lu.se/record/be5c578e-2f23-472c-936f-9bfff29b5d0eURI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:142178996URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • BACKGROUND: The Bethesda system for cytopathology (TBSRTC) is a 6-tier diagnostic framework developed to standardize thyroid cytopathology reporting. The aim of this study was to determine the risk of malignancy (ROM) for each Bethesda category.METHODS: Thyroidectomy-related data from 314 facilities in 22 countries were entered into the following outcome registries: CESQIP (North America), Eurocrine (Europe), SQRTPA (Sweden) and UKRETS (UK). Demographic, cytological, pathologic and extent of surgery data were mapped into one dataset and analyzed.RESULTS: Out of 41,294 thyroidectomy patient entries from January 1, 2015, to June 30, 2017, 21,746 patients underwent both thyroid FNA and surgery. A comparison of cytology and surgical pathology data demonstrated a ROM for Bethesda categories 1 to 6 of 19.2%, 12.7%, 31.9%, 31.4%, 77.8% and 96.0%, respectively. Male patients had a higher rate of malignancy for every Bethesda category. Secondary analysis demonstrated a high ROM in male patients with Bethesda 3 category aged 31-35 years (52.1%, 95% confidence interval (CI) 37.9-66.2%), aged 36-40 years (55.9%, 95% CI 39.2-72.6%) and aged 41-45 years (46.9%, 95% CI 33-60.9%). Patients with Bethesda 5 and 6 scores were more likely to undergo total thyroidectomy (65.9% and 84.6%); for patients with Bethesda scores 2 and 3, a higher percentage of females underwent total thyroidectomy compared to males in spite of a higher ROM for males.CONCLUSIONS: These data demonstrate that Bethesda categories 1-4 are associated with a higher ROM compared to the first edition of TBSRTC, especially in male patients, and validate findings from the second edition of TBSRTC.

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  • Palazzo, FaustoHammersmith Hospital and Imperial College, London, UK (author)
  • Sosa, Julie AnnUniversity of California, San Francisco, CA, USA (author)
  • Kriger, JoshuaColumbia University Mailman School of Public Health, New York, NY, USA (author)
  • Aspinall, SebastianAberdeen Royal Infirmary, Aberdeen, Scotland, UK (author)
  • Barczynski, MarcinDepartment of Endocrine Surgery, Third Chair of General Surgery, Jagiellonian University Medical College, Krakow, Poland (author)
  • Doherty, GerardBrigham and Women's Hospital, Boston, MA, USA,Brigham and Women's Hospital / Harvard Medical School (author)
  • Iacobone, MaurizioUniversity of Padua, Padua, Italy (author)
  • Nordenstrom, ErikLund University,Lunds universitet,Endokrin- och sarkomkirurgi,Forskargrupper vid Lunds universitet,Endocrine and Sarcoma Surgery,Lund University Research Groups(Swepub:lu)med-ent (author)
  • Scott-Coombes, DavidUniversity Hospital of Wales, Cardiff, UK (author)
  • Wallin, Göran,1952-Karolinska Institutet,Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper(Swepub:oru)gwn (author)
  • Williams, LaurenColumbia University Mailman School of Public Health, New York, NY, USA (author)
  • Bray, RachelColumbia University Mailman School of Public Health, New York, NY, USA (author)
  • Bergenfelz, AndersLund University,Lunds universitet,Endokrin- och sarkomkirurgi,Forskargrupper vid Lunds universitet,Endocrine and Sarcoma Surgery,Lund University Research Groups(Swepub:lu)kir-abe (author)
  • Department of Surgery, University of Kentucky College of Medicine, Lexington, KY, USAHammersmith Hospital and Imperial College, London, UK (creator_code:org_t)

Related titles

  • In:World Journal of Surgery: Springer44:2, s. 426-4350364-23131432-2323

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