Diagnostic terminology for reporting thyroid fine needle aspiration cytology: European Federation of Cytology Societies thyroid working party symposium, Lisbon 2009

被引:38
作者
Kocjan, G. [1 ]
Cochand-Priollet, B. [2 ]
de Agustin, P. P. [3 ]
Bourgain, C. [4 ]
Chandra, A. [5 ]
Daneshbod, Y. [6 ]
Deery, A. [7 ,8 ]
Duskova, J. [9 ]
Ersoz, C. [10 ]
Fadda, G. [11 ]
Fassina, A. [12 ]
Firat, P. [13 ]
Jimenez-Ayala, B. [14 ]
Karakitsos, P. [15 ]
Koperek, O. [16 ]
Matesa, N. [17 ]
Poller, D. [18 ]
Thienpont, L. [19 ]
Ryska, A. [20 ]
Schenck, U. [21 ]
Sauer, T. [22 ]
Schmitt, F. [23 ,24 ]
Tani, E. [25 ]
Toivonen, T. [26 ]
Toetsch, M. [27 ]
Troncone, G. [28 ]
Vass, L. [29 ]
Vielh, P. [30 ]
机构
[1] UCL, Dept Histopathol, London WC1E 6JJ, England
[2] Lariboisiere Hosp, Dept Pathol & Cytopathol, Paris, France
[3] Univ Hosp 12 Octubre, Pathol Serv, Madrid, Spain
[4] Univ Ziekenhuis, Unit Cytol & Gynecopathol, Brussels, Belgium
[5] Guys & St Thomas NHS Fdn Trust, Dept Cellular Pathol, London, England
[6] Shiraz Sch Med, Pathol Lab, Shiraz, Iran
[7] St Georges Hosp NHS Trust, London, England
[8] St Georges Med Sch, London, England
[9] Charles Univ Prague, Fac Med 1, Inst Pathol, Prague, Czech Republic
[10] Cukurova Univ, Sch Med, Dept Pathol & Cytol, Adana, Turkey
[11] Catholic Univ, Agostino Gemelli Sch Med, Div Anat Pathol & Histol, Rome, Italy
[12] Dept Diagnost Med Sci & Special Therapies, Sect Pathol, Unit Cytopathol, Padua, Italy
[13] Hacettepe Univ, Fac Med, Dept Pathol, TR-06100 Ankara, Turkey
[14] Inst Jimenez Ayala, Madrid, Spain
[15] Univ Athens, Attikon Hosp, Dept Cytopathol, GR-10679 Athens, Greece
[16] Med Univ Vienna, Clin Inst Pathol, Vienna, Austria
[17] Sister Mercy Hosp, Lab Thyroid Cytopathol, Dept Oncol & Nucl Med, Zagreb, Croatia
[18] Queen Alexandra Hosp, Dept Histopathol, Portsmouth, Hants, England
[19] Onze Lieve Vrouw Hosp, Histo & Cytopathol Labs, Aalst, Belgium
[20] Charles Univ Prague, Med Fac Hosp, Fingerland Dept Pathol, Hradec Kralove, Czech Republic
[21] Tech Univ Munich, Inst Pathol, D-8000 Munich, Germany
[22] Univ Oslo, Ulleval Hosp, Dept Pathol, N-0316 Oslo, Norway
[23] Univ Porto, IPATIMUP, P-4100 Porto, Portugal
[24] Univ Porto, Fac Med, P-4100 Porto, Portugal
[25] Karolinska Univ Hosp Solna, Dept Pathol & Cytol, Stockholm, Sweden
[26] PSHP Lab Ctr, Tampere, Finland
[27] Univ Hosp Graz, Inst Cytol, Graz, Austria
[28] Univ Naples Federico II, Dept Biomorphol Sci, Naples, Italy
[29] Univ Hosp Pest Cty, Dept Pathol Cytopathol, Kistarcsa, Hungary
[30] Inst Gustave Roussy, Dept Pathol, Villejuif, France
关键词
thyroid; fine needle aspiration; cytology; classification; european guidelines; BIOPSIES; SYSTEM;
D O I
10.1111/j.1365-2303.2010.00751.x
中图分类号
Q2 [细胞生物学];
学科分类号
071013 [干细胞生物学];
摘要
A European Federation of Cytology Societies (EFCS) working party of 28 members from 14 European countries met at the European Congress of Cytology in Lisbon in September 2009, with two observers from the USA, to discuss the need for standardising thyroid FNA nomenclature in the light of the National Institute of Cancer (NCI) recommendations resulting from the State of the Science conference in Bethesda in 2007. The data were obtained through two questionnaires sent by email and a transcript of the live discussion at the congress, which is presented in full. The surveys and discussion showed that there were currently no national terminologies for reporting thyroid FNA in the different European countries except in Italy and the UK. Personal, 'local', surgical pathology and descriptive terminologies were in use. All but one of the working party members agreed that thyroid FNA reporting should be standardised. Whilst almost a third would adopt the NCI Bethesda terminology, which offers the advantages of a 'risk of cancer' correlation and is linked to clinical recommendations, more than half favoured a translation of local terminology as the first step towards a unified nomenclature, as has been done recently in the UK. There was some disagreement about the use of: a) the six-tiered as opposed to four or five-tiered systems, b) the use of an indeterminate category and c) the 'follicular neoplasm' category, which was felt by some participants not to be different from the 'suspicious of malignancy' category. The conclusions will be passed to the different national societies of cytology for discussion, who will be asked to map their local terminologies to the Bethesda classification, observe its acceptance by clinicians and audit its correlation with outcome.
引用
收藏
页码:86 / 92
页数:7
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