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Table 1 Bethesda system for cytological diagnosis of thyroid nodules [12]

From: The diagnostic value of ultrasonography in detection of different types of thyroid nodules

Category

Category name

Cytologic features

Malignancy risk (%)

I

Non-diagnostic or Unsatisfactory (ND)

Insufficient cellularity, obscuring blood

5–10

II

Benign

Normal-appearing follicular cells arranged in sheets or macrofollicls, abundant colloid

0–3

III

Atypical of undetermined significance or follicular lesion of undetermined significance (AUS/FLUS)

Sparsely cellular, microfollicles, mild nuclear changes

10–30

IV

Follicular lesion/suspicious for follicular lesion (FN/SFN)

Hypercellular, crowding, microfollicles, scant colloid

25–40

V

Suspicious for malignancy (SFM)

Some features that suggest but not definitive for malignancy

50–75

VI

Malignant

Papillary architecture, definitive nuclear changes

97–99