Research Article

Impact of the Italian Society of Anatomic Pathology and Diagnostic Cytology Classification of Thyroid Nodules in the Treatment of Indeterminate Follicular Lesions: Five-Year Results at a Single Center

Table 1

Comparison of the Bethesda, the RCPath, and the SIAPEC diagnostic categories.

BSRTCRCPathSIAPEC

I. Nondiagnostic or unsatisfactoryTHY1/THY1c. Nondiagnostic /CysticTIR1. Nondiagnostic
TIR1C : Nondiagnostic cystic

II. BenignTHY2/THY2c. NonneoplasticTIR2 : Nonmalignant /benign

III. Atypia of undetermined significance (AUS) or follicular lesion of undetermined significance (FLUS)THY3a. Neoplasm possible. Atypical features present but not enough to place into any of the other categoriesTIR3A. Low-risk indeterminate lesion

IV. Follicular neoplasm or suspicious for a follicular neoplasmTHY3f. Neoplasm possible—suggesting follicular neoplasmTIR3B. High-risk indeterminate lesion

V. Suspicious for malignancyTHY4. Suspicious of malignancyTIR4. Suspicious of malignancy

VI. MalignantTHY5. MalignantTIR5. Malignant