The Bethesda System for Reporting Thyroid Cytopathology
The Bethesda System for Reporting Thyroid Cytopathology
复制标题
DOI：
10.1089/thy.2009.0274
复制
发表时间：
2009-11-01
影响因子：
3.5
通讯作者：
Ali, Syed Z.
中科院分区：
文献类型：
--
作者：
Cibas, Edmund S.;Ali, Syed Z.
目的：为了解决与甲状腺细针穿刺（FNA）相关的术语和其他问题，美国国家癌症研究所（NCI）主办了NCI甲状腺FNA科学状况会议。从NCI会议的术语和形态学标准的结论，导致贝塞斯达甲状腺地图集项目和形式的框架贝塞斯达系统报告甲状腺Cytopathology.Design：从NCI FNA国家的科学会议和其他与会者在现场会议的委员会成员中选择的地图集项目的参与者。术语框架基于1995年以来使用PubMed作为搜索引擎的英文出版物文献检索;在线论坛讨论（http：//thyroidfna.cancer.gov/forums/default.aspx）;以及2007年10月22日和23日在马里兰州贝塞斯达举行的正式跨学科讨论。主要成果：为了沟通的清晰，Bethesda甲状腺细胞病理学报告系统建议每份报告开始时从六个一般诊断类别中的一个开始。每个类别都有一个隐含的癌症风险，将其链接到一个适当的临床管理guideline.Conclusions：该项目的参与者希望，通过这个框架将促进细胞病理学家，内分泌学家，外科医生和放射科医生之间的沟通，促进甲状腺疾病的细胞学-组织学相关性，促进对甲状腺疾病的理解的研究。为了解决与甲状腺细针穿刺（FNA）相关的术语和其他问题，美国国家癌症研究所（NCI）主办了NCI甲状腺细针穿刺科学现状会议。NCI会议关于术语和形态学标准的结论导致了Bethesda甲状腺图谱项目，并形成了Bethesda甲状腺细胞病理学报告系统（TBSRTC）的框架。为了沟通的清晰，TBSRTC建议每份报告开始时以6个一般诊断类别中的I开头。项目参与者希望，采用这一灵活的框架将促进细胞病理学家、内分泌学家、外科医生、放射科医生和其他保健提供者之间的交流;促进甲状腺疾病的细胞学-组织学相关性;促进对甲状腺疾病的流行病学、分子生物学、病理学和诊断的研究;并允许轻松可靠地共享来自不同实验室的数据，用于国家和国际合作研究。
Objective: To address terminology and other issues related to thyroid fine-needle aspiration (FNA), the National Cancer Institute (NCI) hosted The NCI Thyroid FNA State of the Science Conference. The conclusions regarding terminology and morphologic criteria from the NCI meeting led to the Bethesda Thyroid Atlas Project and form the framework for the Bethesda System for Reporting Thyroid Cytopathology.Design: Participants of the Atlas Project were selected from among the committee members of the NCI FNA State of the Science Conference and other participants at the live conference. The terminology framework was based on a literature search of English language publications dating back to 1995 using PubMed as the search engine; online forum discussions (http://thyroidfna.cancer.gov/forums/default.aspx); and formal interdisciplinary discussions held on October 22 and 23, 2007, in Bethesda, MD.Main Outcome: For clarity of communication, the Bethesda System for Reporting Thyroid Cytopathology recommends that each report begin with one of the six general diagnostic categories. Each of the categories has an implied cancer risk that links it to an appropriate clinical management guideline.Conclusions: The project participants hope that the adoption of this framework will facilitate communication among cytopathologists, endocrinologists, surgeons, and radiologists; facilitate cytologic-histologic correlation for thyroid diseases; facilitate research into the understanding of thyroid diseases; and allow easy and reliable sharing of data from different laboratories for national and international collaborative studies.To address terminology and other issues related to thyroid fine-needle aspiration (FNA), the National Cancer Institute (NCI) hosted the NCI Thyroid FNA State of the Science Conference. The conclusions regarding terminology and morphologic criteria from the NCI meeting led to the Bethesda Thyroid Atlas Project and form the framework for The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC). For clarity of communication, TBSRTC recommends that each report begin with I of 6 general diagnostic categories. The project participants hope that the adoption of this flexible framework will facilitate communication among cytopathologists, endocrinologists, surgeons, radiologists, and other health care providers; facilitate cytologic-histologic correlation for thyroid diseases; facilitate research into the epidemiology, molecular biology, pathology, and diagnosis of thyroid diseases; and allow easy and reliable sharing of data from different laboratories for national and international collaborative studies.