Ricerc@Sapienza

Background: Italian consensus for the classification and reporting of thyroid cytology
(ICCRTC) has been used in almost all Italian institutions since 2014. High reliability
of ICCRTC in classifying low and high risk indeterminate nodules (Tir 3A and Tir 3B,
respectively) was demonstrated. Here we reviewed our casuistry of thyroid indeterminate
lesions to analyze the histologic outcome.
Methods: All lesions undergone FNA and final histology at S. Andrea Hospital of Rome
after a cytologic assessment of Tir 3A and Tir 3B, according to ICCRTC, were included
in the study.
Results: A number of 157 indeterminate FNA was found after the introduction of
ICCRTC. Of these, 75 undergone surgery and were finally included for the study. At
histology we found a 33.3% of cancers and a 67.7% of benign lesions. Out of the overall
series, 25 were classified as Tir 3A and 50 as Tir 3B. Cancer rate observed in Tir 3A (1/25,
4%) was significantly (p = 0.0002) lower than that of Tir 3B (24/50, 48%). No significant
difference was found in age and size between the two subcategories.
Conclusions: We confirm in our series that Italian consensus for the classification and
reporting of thyroid cytology allows to discriminate indeterminate lesions at low and high
risk of malignancy.