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. 2021 Dec 1;44(6):200–204. doi: 10.18773/austprescr.2021.055

Table 2. Bethesda System for Reporting Thyroid Cytopathology 21.

Bethesda category Risk of malignancy Comment
I – Non-diagnostic 5–10% Insufficient sample of follicular cells or sample has degraded
II – Benign 0–3%
III – Atypia of undetermined significance or follicular lesion of undetermined significance 10–30% Categories III and IV reflect the inherent limitations of cytology – being unable to distinguish between benign versus malignant follicular patterned lesions given the inability to analyse the tissue architecture
IV – Follicular neoplasm or suspicious of a follicular neoplasm 25–40%
V – Suspicious of malignancy 50–75% Subtle or focal features of malignancy within the sample
VI – Malignant 97–99%