2023年贝塞斯达系统报告甲状腺细胞病理学
Syed Z Ali1, Zubair W Baloch2, Beatrix Cochand-Priollet3
1Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
概括
贝塞斯达系统报告甲状腺细胞病理学,第三版,将甲状腺细针吸收诊断标准化成六类,更新恶性瘤风险. 它简化了亚型症的分类,包括儿科病例和分子测试见解.
科学领域:
- 细胞病理学 细胞病理学
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 自2010年以来,贝塞斯达甲状腺细胞病理报告系统 (TBSRTC) 建立了甲状腺细针吸引 (FNA) 的标准化报告系统.
- 之前的版本促进了对甲状腺结节的一致沟通和风险分层.
研究的目的:
- 介绍贝塞斯达系统报告甲状腺细胞病理学的第三版的关键更新和进展.
- 改进诊断类别,恶性瘤风险 (ROM) 估计,并纳入新的数据和分类.
主要方法:
- 甲状腺FNA的标准化分类,分为六个不同的诊断类别.
- 根据第二版后的数据,更新了ROM估计.
- 纳入2022年世界卫生组织 (WHO) 甲状腺瘤分类命名体系.
主要成果:
- 给六个诊断类别赋予单一,清晰的名称:非诊断性,良性,意义不明的异型,卵泡瘤,可疑恶性瘤和恶性瘤.
- 精制了每个类别的平均ROM和范围,包括对意义不明的非典型病的简化分类.
- 包括小儿甲状腺疾病,分子/辅助测试以及临床/成像视角.
结论:
- 第三版TBSRTC为甲状腺细胞病理报告提供了一个更新,精细和全面的框架.
- 它提高了诊断清晰度,风险评估,并纳入了该领域的当代进展,包括分子诊断和儿科考虑.
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