Skip to main content
. 2020 Oct;9(5):1653–1662. doi: 10.21037/gs-2019-catp-22

Table 1. Comparison of reporting systems for thyroid fine-needle aspiration cytology.

Papanicolaou Society of Cytopathology (in 1997) Japanese Society of Thyroid Surgery (in 2005) Bethesda system (in 2007, 2017) Japan Thyroid Association (in 2013) Japanese Society of Thyroid Surgery (in 2015); Japanese Association of Endocrine Surgery and The Japanese Society of Thyroid Pathology (in 2019)
Unsatisfactory for interpretation Inadequate Non-diagnostic or unsatisfactory* Inadequate Unsatisfactory
Benign non-neoplastic lesions* Normal or benign* (II) Benign Normal or benign* Cyst fluid
Cellular follicular lesions Benign
Follicular neoplasm Intermediate (III) Atypia of undetermined significance or follicular lesion of undetermined significance Indeterminate B
(other tumors)
Undetermined significance
   Favor benign
   Favor malignant
Hürthle cell neoplasm (IV) Follicular neoplasm or suspicious for a follicular neoplasm Indeterminate A (follicular neoplasm) Follicular neoplasm
A-1: favor benign
A-2: borderline
A-3: favor malignant
Suspicious for malignancy Malignancy suspected (V) Suspicious for malignancy Suspicious for malignancy Suspicious for malignancy
Malignant Malignant (VI) Malignant Malignant Malignant

*, including cyst fluid.