Thyroid Cytopathology: Its Significance In Surgical Management Of Thyroid Nodule/ Malignancies | 12409
Otolaryngology: Open Access
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Thyroid nodules are commonly encountered in clinical practice. More than50% of the world s population harbours atleast one thyroid
nodule and the frequency of nodular thyroid disease increases with age. Fine needle aspiration of the thyroid is one of the most
commonly practiced areas in non-gynaecologic cytopathology. It was originated in Scandinavia in 1950 and 1960 s. However now it is
being used worldwide for its accuracy and advantage in differentiating benign (95%) cases from malignant (5%) cases. The entire current
management approach for patients with thyroid disease hinges upon a cytopathologic diagnosis. Even though malignant thyroid disease
make up only 5% of lesions, the incidence of encountering cancer after thyroid surgery has risen from 14% to more than 50% in a period
of just over 2 decades, which is credited to optimum use of proper FNA technique and better knowledge of the cytomorphological
characteristics of thyroid disease. Diagnosis of thyroid nodule requires a multidisciplinary approach which requires a friendly interaction
amongst the pathologist, radiologist and medical endocrinologist/head and neck surgeon. As cytomorphological diagnostic expertise is
important in proper surgical management of thyroid nodule/thyroid malignancies,a untiring effort of over 40 well known experts from
various disciplines from around the globe, the Bethesda system for reporting thyroid cytopathology (TBSRTC) was done in 2010. This
system has an probabilistic approach which is well defined, morphologically distinct has a better cytohistologic correlation and inter
observed reproducibility for better patient care and surgical management.
Dr. Nandini Manoli is a distinguished professor in Jss medical college, India; she has 17 national and International publications. Her Name included in database of genetic registry in university of London, u.k and area of interest is pathology. She is the Member of British Clinical Cytology Society 2010 and Chair person of Jwalamukhi Devi Award at Cytocon 2010.
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