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% |