The 2023 Bethesda system for reporting thyroid cytopathology: novi sub sole, subdivision is no more debatable, in thyroidology
İlker Şengül, Demet Şengül
Abstract
The 2010 Bethesda system for reporting thyroid cytopathology (TBSRTC) was initially proposed at the National Cancer Institute (NCI) Thyroid Fine Needle Aspiration (FNA) State of the Art and Science Conference held in Bethesda, Maryland, 2007.Afterward, the 2010 TBSRTC, first edition, suggested thyroidologists to utilize a standardized, six-category-based reporting system for thyroid FNA in the States and worldwide by Cibas and Ali, founders of this lexicon, which was published in the 19th volume of Thyroid 1 .Wielding TBSRTC has also been endorsed by the 2015 American Thyroid Association (ATA) management guidelines 2 similar to the 2009 ATA guidelines 3 , which was the revision of the 2006 ATA guidelines 4 , through the management of this delicate endocrine gland [1][2][3][4][5][6][7][8][9] .On May 28-June 01, 2016, a special 2½ h symposium entitled "The Bethesda System for reporting thyroid cytopathology: past, present, future" was moderated by Ali and Vielh at the 19th International Congress of Cytology, ICC, in Pacifico Yokohama, Japan 10,11 .In addition to this, Pusztaszeri et al. 12 and Ali et al. 10,11 also discussed briefly the consensus of the aforementioned panel, recommendations, proposed modifications, and updates for a second edition of TBSRTC by anticipating its emerging date in early 2018.However, the 2017 TBSRTC, second edition, was then published in the 27th volume of Thyroid, by rectifying the implied risk of malignancy (ROM) for each category, remarkable for indeterminate cytology, molecular testing recommendations interpolating explanatory notes in order to state some may represent the newly established noninvasive follicular thyroid neoplasm with papillary-like nuclear features, NIFTP 13 .Mater artium necessitas.After these two successful former editions worldwide, a third edition of this lexicon, the 2023 TBSRTC, has been announced currently again by Ali et al. 14 .