Table 2.
Distinctive characteristics of WLPTC compared to other PTC subtypes.
Histological features | Classic PTC | WLPTC | Oncocytic PTC | Tall cell PTC |
---|---|---|---|---|
Growth pattern | Papillary | Papillary | Papillary or follicular | Papillary |
Cell apperance | Slighly eosinophilic cytoplasm | Oncocytic changes | Oncocytic changes | Oncocytic changes ; three times as tall as wide |
Papillary nuclear features | Yes | Yes | Yes | Mainly elongated dark nuclei |
Lymphocytic infiltrate | Slight | Dense | Absent | Slight |
Underlying CLT | Possible | Very common | Absent | Rare |
Extrathyroid extension | Possible | Rare | Possible | Common |
Vasular invasion | Rare | Rare | Possible | Common |
LN metastases | Common | Common | Common | Very common |
Distant metastases | Possible | Rare | Possible | Common |
PTC, Papillary Thyroid Cancer; WLPTC, Warthin-like Papillary Thyroid Cancer; CLT, Chronic Lymphocytic Thyroiditis; LN, Lymph Node.