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<p>Submitted smears are hemorrhagic and dominantly hypocellular with some smears showing scattered sheets of follicular cells and isolated small follicular formations. Some of the clusters show peripheral palisading of cells suggesting a papillary configuration with occasional nuclear clefting but definitive clearing were not seen. Background is hemorrhagic admixed with colloid material and inflammatory cells. Picture is suspicious of follicular neoplasm, possibilities include; follicular adenoma, follicular carcinoma or follicular variant of papillary carcinoma</p>
<p>Rt. Thyroid lobe nodules, one is suspicious, TI-RADs IV and other one is benign looking, TI-RADs III.</p>
<p>Submitted 22 unstained smears, pap stained.</p>
<p><strong><em><u>Rt. Thyroid lobe suspicious nodule, guided FNAC:</u></em></strong></p><ul><li><strong>Follicular neoplasm (Bethesda category IV).</strong></li><li><strong> Recommended for excision of the affected lobe.</strong></li></ul><p><br></p><p><strong><u>COMMENT:</u></strong></p><p class="ql-align-justify">According to Bethesda System for Reporting Thyroid Cytology (BSRTC), this categorized as Bethesda IV with cancer risk about 15-30%. Hence, lobectomy is recommended.</p>
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