FNAC is an essential diagnostic procedure that is used in the planning of surgery. The cytology should be reported by a cytopathologist who has a special interest in thyroid disease and is a member of the MDT. An adequate sample is required and reports should be based on descriptive text, but should include a numerical coding as a guide towards specific further investigation or therapeutic action.
Surgical samples must be fully documented both macroscopically and microscopically and tumors classified according to the TNM status; the disease can then be staged I to IV
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