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I) Nondiagnostic or Unsatisfactory II) Benign III) Atypia of undetermined significance IV) Follicular neoplasm V) Suspicious for malignancy. VI) Malignant.
I) Nondiagnostic or Unsatisfactory a) Cyst fluid only b) Virtually acellular c) Others : Predominantly blood Absence of colloid / few Follicular cells
II) Benign ; a) Consistent with a benign Follicular nodule eg : Colloid nodule / Adenomatoid nodule b) C/W lymphocytic/ Hashimoto thyroiditis c) C/W Hemorrhagic colloid nodule.
III) Atypia of Undetermined significance / Follicular lesion of Undetermined significance Adequate aspirate but indefinite diagnoses Eg : Scattered clusters of atypical follicular cells & scant colloid Cannot exclude a neoplasm.
IV) Follicular neoplasm / Suspicious for follicular neoplasm ( SFN ) Moderate / High cellularity Scant / Absent colloid Microfollicular / trabecular pattern Specify if Hurtle cell type
V) Suspicious for malignancy susp. for Papillary carcinoma susp. for Medullary carcinoma susp. for Metastatic carcinoma susp. for lymphoma.
V) Malignant Papillary carcinoma Poorly differentiated carcinoma Medullary thyroid carcinoma Undifferentiated / Anaplastic thy. Ca Squamous cell carcinoma Carcinoma with mixed features Metastatic
--0 to 3 % 5 15 % 15 30 % 60 75 %