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- W2607885095 abstract "<b><i>Background:</i></b> It is essential to interpret fine needle aspiration biopsy (FNAB) material correctly to create a common language among pathologists and surgeons, leading to a uniform approach to thyroid nodule management. We aimed to compare FNAB reports of patients at our institution who were treated with total thyroidectomy, before and after the Bethesda classification system. <b><i>Patients and Methods:</i></b> Patients who underwent total thyroidectomy for thyroid nodules are reviewed. 226 patients who underwent total thyroidectomy before the Bethesda era (2006-2009) were classified as Group-I, and 316 patients in whom total thyroidectomy was performed after the Bethesda classification system was introduced (2010-2014) were classified as Group-II. <b><i>Results:</i></b> Before Bethesda, ‘nondiagnostic' or ‘benign' lesions were reported in 16.4 and 45% of patients, respectively, which then significantly decreased to 4.7 and 32.9% as the Bethesda classification criteria came into use. In Group-II, the actual malignancy rates were 13.3, 2.8, 7.3, 15.5, 85.4, and 96.5% for Bethesda I, II, III, IV, V, and VI, respectively. <b><i>Conclusion:</i></b> Our experience confirms that the Bethesda classification system leads to a significant reduction in lesions that used to be reported as ‘benign' without compromising the actual rates of malignancy. It ensures better classification of so-called suspicious lesions, and allows for more accurate predictions of suspicious or malignant lesions." @default.
- W2607885095 created "2017-05-05" @default.
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- W2607885095 date "2017-01-01" @default.
- W2607885095 modified "2023-09-26" @default.
- W2607885095 title "Bethesda Made It Clearer: A Review of 542 Patients in a Single Institution" @default.
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- W2607885095 doi "https://doi.org/10.1159/000460298" @default.
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