Thyroid fine-needle aspiration cytology in Taiwan: a nationwide survey and literature update
In Taiwan, thyroid fine-needle aspiration cytology is easily accessible and reliable for evaluating thyroid nodules. The sonographic pattern plays a major role and is the deciding factor for aspiration. We conducted a nationwide survey in 2017 and it revealed that 31% of laboratories had adopted The...
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| Format: | Article |
| Language: | English |
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Korean Society of Pathologists & the Korean Society for Cytopathology
2020-09-01
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| Series: | Journal of Pathology and Translational Medicine |
| Subjects: | |
| Online Access: | http://www.jpatholtm.org/upload/pdf/jptm-2020-07-17.pdf |
| _version_ | 1818126874281246720 |
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| author | Chien-Chin Chen Jen-Fan Hang Chih-Yi Liu Yeh-Han Wang Chiung-Ru Lai |
| author_facet | Chien-Chin Chen Jen-Fan Hang Chih-Yi Liu Yeh-Han Wang Chiung-Ru Lai |
| author_sort | Chien-Chin Chen |
| collection | DOAJ |
| description | In Taiwan, thyroid fine-needle aspiration cytology is easily accessible and reliable for evaluating thyroid nodules. The sonographic pattern plays a major role and is the deciding factor for aspiration. We conducted a nationwide survey in 2017 and it revealed that 31% of laboratories had adopted The Bethesda System for Reporting Thyroid Cytopathology. There was a relatively high unsatisfactory rate (24.04%) and low rates of indeterminate diagnoses, including atypia of undetermined significance/follicular lesions of undetermined significance: 4.87%, and follicular neoplasm/suspicious for a follicular neoplasm: 0.35%. Moreover, the risks of malignancy in benign, atypia of undetermined significance, and suspicious for a follicular neoplasm were relatively high. These may reflect strict diagnostic criteria for indeterminate categories and better patient selection for surgery. Improvements in specimen sampling and continuing education programs are crucial. Newly-developed thyroid cytology technologies, such as immunocytochemistry, molecular testing, and computerized cytomorphometry, may further facilitate cytology diagnoses. |
| first_indexed | 2024-12-11T07:08:23Z |
| format | Article |
| id | doaj.art-e1afeb2cd04340a187d3fa5006cd9072 |
| institution | Directory Open Access Journal |
| issn | 2383-7837 2383-7845 |
| language | English |
| last_indexed | 2024-12-11T07:08:23Z |
| publishDate | 2020-09-01 |
| publisher | Korean Society of Pathologists & the Korean Society for Cytopathology |
| record_format | Article |
| series | Journal of Pathology and Translational Medicine |
| spelling | doaj.art-e1afeb2cd04340a187d3fa5006cd90722022-12-22T01:16:26ZengKorean Society of Pathologists & the Korean Society for CytopathologyJournal of Pathology and Translational Medicine2383-78372383-78452020-09-0154536136610.4132/jptm.2020.07.1716931Thyroid fine-needle aspiration cytology in Taiwan: a nationwide survey and literature updateChien-Chin Chen0Jen-Fan Hang1Chih-Yi Liu2Yeh-Han Wang3Chiung-Ru Lai4 Department of Pathology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan Department of Pathology and Laboratory Medicine, Taipei Veterans General Hospital, Taipei, Taiwan Division of Pathology, Sijhih Cathay General Hospital, New Taipei City, Taiwan Department of Anatomic Pathology, Taipei Institute of Pathology, Taipei, Taiwan Department of Pathology and Laboratory Medicine, Taipei Veterans General Hospital, Taipei, TaiwanIn Taiwan, thyroid fine-needle aspiration cytology is easily accessible and reliable for evaluating thyroid nodules. The sonographic pattern plays a major role and is the deciding factor for aspiration. We conducted a nationwide survey in 2017 and it revealed that 31% of laboratories had adopted The Bethesda System for Reporting Thyroid Cytopathology. There was a relatively high unsatisfactory rate (24.04%) and low rates of indeterminate diagnoses, including atypia of undetermined significance/follicular lesions of undetermined significance: 4.87%, and follicular neoplasm/suspicious for a follicular neoplasm: 0.35%. Moreover, the risks of malignancy in benign, atypia of undetermined significance, and suspicious for a follicular neoplasm were relatively high. These may reflect strict diagnostic criteria for indeterminate categories and better patient selection for surgery. Improvements in specimen sampling and continuing education programs are crucial. Newly-developed thyroid cytology technologies, such as immunocytochemistry, molecular testing, and computerized cytomorphometry, may further facilitate cytology diagnoses.http://www.jpatholtm.org/upload/pdf/jptm-2020-07-17.pdfcytologyfine-needle aspirationtaiwanthyroidthyroidectomy |
| spellingShingle | Chien-Chin Chen Jen-Fan Hang Chih-Yi Liu Yeh-Han Wang Chiung-Ru Lai Thyroid fine-needle aspiration cytology in Taiwan: a nationwide survey and literature update Journal of Pathology and Translational Medicine cytology fine-needle aspiration taiwan thyroid thyroidectomy |
| title | Thyroid fine-needle aspiration cytology in Taiwan: a nationwide survey and literature update |
| title_full | Thyroid fine-needle aspiration cytology in Taiwan: a nationwide survey and literature update |
| title_fullStr | Thyroid fine-needle aspiration cytology in Taiwan: a nationwide survey and literature update |
| title_full_unstemmed | Thyroid fine-needle aspiration cytology in Taiwan: a nationwide survey and literature update |
| title_short | Thyroid fine-needle aspiration cytology in Taiwan: a nationwide survey and literature update |
| title_sort | thyroid fine needle aspiration cytology in taiwan a nationwide survey and literature update |
| topic | cytology fine-needle aspiration taiwan thyroid thyroidectomy |
| url | http://www.jpatholtm.org/upload/pdf/jptm-2020-07-17.pdf |
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