Evaluation of Bethesda System for Reporting Thyroid FNAC in Rural Setup

  • Sanjay Khandekar Department of Pathology, Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra
Keywords: The Bethesda System for Reporting Thyroid Cytopathology, TBSRTC, Fine Needle Aspiration Cytology


Aims and Objectives: The present research was undertaken to study the diagnostic utility of TBSRTC at our institution and correlate the cytological diagnosis with the histological diagnosis wherever available.

Methods: A total of 108 patients with thyroid swellings were subjected to fine needle aspiration cytology (FNAC) during a period of 10 months i.e. from January 2016 to October 2016 were included in the study. Out of these 31 patients (28.70%) underwent surgery subsequently and histopathological examination was done. Cytological diagnosis was compared with histopathology diagnosis wherever it was available.

Results: Out of 108 patients, majority were females (87.03%) and in younger age group (n = 66 [61.11%], 21–40 years). The FNAC diagnosis was categorized as unsatisfactory (2.77%), benign (87.03%), Atypia of Undetermined Significance (0.92%), Follicular/ Hurthle cell neoplasm (4.62%), suspicious for malignancy (0.92%) and malignant (3.70%). The malignancy rate for benign category was 4.5%, 20% for follicular neoplasm, 100% for each suspicious for malignancy and malignant category. 29 cases (93.54%) out of 31 had a consistent cytological diagnosis with histological diagnosis while 2 cases (6.45%) showed discordance. There was a good correlation between cytological and histopathological diagnosis.

Conclusion: The Bethesda system is very useful standardized system of reporting thyroid cytopathology. It improves communication between cytopathologist's and clinicians, leading to more consistent management approaches.


Download data is not yet available.


Mehra P and Verma AK. Thyroid cytopathology reporting by the bethesda system: a two-year prospective study in an academic institution. Pathology Research International 2015, Article ID 240505, P-11.

Ali SZ. Thyroid cytopathology: Bethesda and beyond. Acta Cytol. 2011; 55(1): 4-12.

Cibas ES and Ali SZ. The Bethesda System for Reporting Thyroid Cytopathology. Am J Clin Pathol 2009; 132: 658-665.

Bhagat VM, Tailor HJ, Kaptan KR, Baladawa V, Prasad GH, Saini PK. Diagnostic Role of the Bethesda System for Reporting Thyroid Lesions: Effective Tool for Managing Thyroid Lesions. Global J of Medical research 2014; 14(1): 13-18.

Basak B, Mondal S, Roy DN, Sinha S. The Bethesda system for reporting thyroid fine needle aspirates: A cytologic study with histologic follow-up. J of cytology 2013; 30(2): 94-99.

Chandanwale S, Singh N, Kumar H, Pradhan P, Gore C, Rajpal M. Clinicopatholological correlation of thyroid nodules. Int J Pharm Biomed Sci 2012; 3(3): 97-102.

Gulia S, Chaudhary M, Sitaraman E, Reddy K. Diagnostic Accuracy of Fine Needle Aspiration Cytology In The Diagnosis of Thyroid Lesions. The Internet Journal of Pathology 2010; 13 (1).

Al-Brahim N, Asa SL. Papillary thyroid carcinoma: an overview. Arch Pathol Lab Med. 2006; 130(7): 1057-62.

Hajmanoochehri F, Rabiee E. FNAC accuracy in diagnosis of thyroid neoplasms considering all diagnostic categories of the Bethesda reporting system: A single-institute experience. Journal of Cytology 2015; 32(4): 238-243.

Mufti ST, Molah R. The Bethesda system for reporting thyroid cytopathology: a five-year retrospective review of one center experience. Int J Health Sci (Qassim) 2012; 6(2): 159-73.

How to Cite
Khandekar, S. (2018). Evaluation of Bethesda System for Reporting Thyroid FNAC in Rural Setup. International Journal of Biomedical and Advance Research, 9(6), 229-234. https://doi.org/10.7439/ijbar.v9i6.4819
Original Research Articles