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首页> 外文期刊>Cytopathology >Incidence, malignancy rates of diagnoses and cyto‐histological correlations in the new Italian Reporting System for Thyroid Cytology: An institutional experience
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Incidence, malignancy rates of diagnoses and cyto‐histological correlations in the new Italian Reporting System for Thyroid Cytology: An institutional experience

机译：新的意大利甲状腺细胞学报告系统中的发病率，恶性诊断和细胞组织学相关性：制度经验

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摘要

Objective FNA biopsy is considered as the most accurate method for the selection of patients with thyroid nodules that need for surgery or for the wait and see management. The aim of the present study is to clarify the risk of malignancy for the cytological data classified according to the 2014 Italian reporting system. Methods We report a retrospective analysis of 4043 patients in our institution's experience during the period April 2014 through December 2016 with the Italian reporting system for thyroid cytology. Results The diagnostic incidences of the 4043 cases were as follows: 9.8% TIR 1; 1.3% TIR 1C; 70% TIR 2; 6.6% TIR 3A; 4.5% TIR 3B; 2.4% TIR 4; 5.2% TIR 5. A repeated aspiration was carried out in 68 out of 269 cases (25%) classified as TIR 3A. A total of 407 cases with cytology underwent surgical resection. A malignant neoplasm was detected in 261 out of 407 (64%) cases. Regarding TIR 3B, surgical excision was undertaken in 109 cases, which included 42 high‐risk lesions and 67 Hürthle cell neoplasms. The risk of malignancy was significantly higher in the former compared to the latter (50% vs 9%; P .05). Conclusions This investigation emphasises the reliability of the 2014 Italian Reporting System concerning the mutual frequency of the diagnostic categories. The risk of malignancy is perfectly within the range of the estimated values.
机译：目标FNA活组织检查被认为是选择需要手术或观察管理的甲状腺结节患者的最准确的方法。本研究的目的是阐明根据2014年意大利报告系统分类的细胞学数据恶性肿瘤的风险。方法举报2014年4月期间4043名患者的回顾性分析2016年4月至2016年12月，甲状腺细胞学意大利报告系统。结果4043例诊断发病率均如下：9.8％TIR 1; 1.3％TIR 1C; 70％TIR 2; 6.6％TIR 3a; 4.5％TIR 3B; 2.4％TIR 4; 5.2％TIR 5.在269例（25％）分为TIR 3a的269例（25％）中进行重复吸入。共有407例细胞学进行手术切除。在407例（64％）病例中261例中检测到恶性肿瘤。关于TIR 3B，在109例中进行手术切除，其中包括42例高危病灶和67个Hürthle细胞瘤。与后者相比，前者的恶性肿瘤风险显着高（50％vs 9％; p＆ 05）。结论这项调查强调了关于诊断类别互补频率的2014年意大利报告系统的可靠性。恶性肿瘤的风险在估计值的范围内。

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  • 来源
    《Cytopathology》 |2017年第6期|共6页
  • 作者

    Straccia P.; Santoro A.; Rossi E. D.; Brunelli C.; Mosseri C.; Musarra T.; Pontecorvi A.; Lombardi C. P.; Fadda G.;

  • 作者单位

    Division of Anatomic Pathology and HistologyCatholic University of Sacred Heart Foundation;

    Division of Anatomic Pathology and HistologyCatholic University of Sacred Heart Foundation;

    Division of Anatomic Pathology and HistologyCatholic University of Sacred Heart Foundation;

    Division of Anatomic Pathology and HistologyCatholic University of Sacred Heart Foundation;

    Division of Anatomic Pathology and HistologyCatholic University of Sacred Heart Foundation;

    Division of Anatomic Pathology and HistologyCatholic University of Sacred Heart Foundation;

    Division of EndocrinologyCatholic University of Sacred Heart Foundation “Agostino Gemelli;

    Division of Endocrine SurgeryCatholic University of Sacred Heart Foundation “Agostino Gemelli;

    Division of Anatomic Pathology and HistologyCatholic University of Sacred Heart Foundation;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 病理学;
  • 关键词

    cytology; fine needle aspiration; reporting system; thyroid nodules;

    机译：细胞学;细针抱负;报告系统;甲状腺结节;

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