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Subclassification of Follicular Neoplasms Recommended by the Japan Thyroid Association Reporting System of Thyroid Cytology
Background. The Japan Thyroid Association recently published guidelines for clinical practice for the management of thyroid nodules, which include a diagnostic system for reporting thyroid fine needle aspiration cytology. It is characterized by the subclassification of follicular neoplasms, which is...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334867/ https://www.ncbi.nlm.nih.gov/pubmed/25722720 http://dx.doi.org/10.1155/2015/938305 |
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author | Kakudo, Kennichi Kameyama, Kaori Hirokawa, Mitsuyoshi Katoh, Ryohei Nakamura, Hirotoshi |
author_facet | Kakudo, Kennichi Kameyama, Kaori Hirokawa, Mitsuyoshi Katoh, Ryohei Nakamura, Hirotoshi |
author_sort | Kakudo, Kennichi |
collection | PubMed |
description | Background. The Japan Thyroid Association recently published guidelines for clinical practice for the management of thyroid nodules, which include a diagnostic system for reporting thyroid fine needle aspiration cytology. It is characterized by the subclassification of follicular neoplasms, which is different from other internationally accepted reporting systems. Materials and Methods. This study examined observer variability in the subclassification of follicular neoplasms among 4 reviewers using Papanicolaou-stained smear samples from 20 surgically treated patients with indeterminate cytology. Results. The favor malignant subcategory had high predictive value of malignancy (risk of malignancy: 60–75%) and good agreement among the 4 reviewers (κ = 0.7714). Conclusion. These results clearly confirmed that the risk stratification of follicular neoplasms, which was adapted from cytology practice of high-volume thyroid centers in Japan, can provide clinically helpful information to estimate the risk of malignancy and to triage patients for surgery. |
format | Online Article Text |
id | pubmed-4334867 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-43348672015-02-26 Subclassification of Follicular Neoplasms Recommended by the Japan Thyroid Association Reporting System of Thyroid Cytology Kakudo, Kennichi Kameyama, Kaori Hirokawa, Mitsuyoshi Katoh, Ryohei Nakamura, Hirotoshi Int J Endocrinol Research Article Background. The Japan Thyroid Association recently published guidelines for clinical practice for the management of thyroid nodules, which include a diagnostic system for reporting thyroid fine needle aspiration cytology. It is characterized by the subclassification of follicular neoplasms, which is different from other internationally accepted reporting systems. Materials and Methods. This study examined observer variability in the subclassification of follicular neoplasms among 4 reviewers using Papanicolaou-stained smear samples from 20 surgically treated patients with indeterminate cytology. Results. The favor malignant subcategory had high predictive value of malignancy (risk of malignancy: 60–75%) and good agreement among the 4 reviewers (κ = 0.7714). Conclusion. These results clearly confirmed that the risk stratification of follicular neoplasms, which was adapted from cytology practice of high-volume thyroid centers in Japan, can provide clinically helpful information to estimate the risk of malignancy and to triage patients for surgery. Hindawi Publishing Corporation 2015 2015-02-04 /pmc/articles/PMC4334867/ /pubmed/25722720 http://dx.doi.org/10.1155/2015/938305 Text en Copyright © 2015 Kennichi Kakudo et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Kakudo, Kennichi Kameyama, Kaori Hirokawa, Mitsuyoshi Katoh, Ryohei Nakamura, Hirotoshi Subclassification of Follicular Neoplasms Recommended by the Japan Thyroid Association Reporting System of Thyroid Cytology |
title | Subclassification of Follicular Neoplasms Recommended by the Japan Thyroid Association Reporting System of Thyroid Cytology |
title_full | Subclassification of Follicular Neoplasms Recommended by the Japan Thyroid Association Reporting System of Thyroid Cytology |
title_fullStr | Subclassification of Follicular Neoplasms Recommended by the Japan Thyroid Association Reporting System of Thyroid Cytology |
title_full_unstemmed | Subclassification of Follicular Neoplasms Recommended by the Japan Thyroid Association Reporting System of Thyroid Cytology |
title_short | Subclassification of Follicular Neoplasms Recommended by the Japan Thyroid Association Reporting System of Thyroid Cytology |
title_sort | subclassification of follicular neoplasms recommended by the japan thyroid association reporting system of thyroid cytology |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334867/ https://www.ncbi.nlm.nih.gov/pubmed/25722720 http://dx.doi.org/10.1155/2015/938305 |
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