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

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

  • Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

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

Nummerbeteckningar

  • 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

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • 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.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

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

Sammanhörande titlar

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

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