Table 1.
Summary of key radiologic, pathologic, and molecular findings of isthmus nodule.
| Examination date | Ultrasound | Cytopathology/Surgical pathology | ThyroSeq v3 molecular details | ThyroSeq v3 molecular result |
|---|---|---|---|---|
| October 2018 | Thyroid isthmus nodule, solid and hypoechoic, 1.8 cm | FNA: AUS | Low-level, isolated EIF1AX splice-site mutation (p.A113_splice), AF 11% | Currently negative; PCN: Low (5%−10%) |
| December 2019 | Thyroid isthmus nodule, solid and hypoechoic, 2.1 cm | FNA: AUS | Low-level, isolated EIF1AX splice-site mutation (p.A113_splice), AF 25% | Currently negative; PCN: Low (5%−10%) |
| December 2021 | Thyroid isthmus nodule, solid and hypoechoic, 2.7 cm; TR-3 | FNA: AUS | Low-level, isolated EIF1AX splice-site mutation (p.A113_splice), AF 12% Non-V600E BRAF mutation (p.L597Q), AF 1% |
Positive; PCN: Intermediate-high (50%−60%) |
| April 2022 | — | SP: Encapsulated noninvasive, oncocytic solid subtype papillary thyroid carcinoma with increased mitotic activity, 2.7 cm | EIF1AX splice-site mutation (p.A113_splice), AF 64% | — |
Abbreviations: AF, allelic frequency; AUS, atypia of undetermined significance; FNA, fine-needle aspiration; PCN, probability of cancer or noninvasive follicular thyroid neoplasm with papillary-like nuclear features; SP, surgical pathology; TR, thyroid imaging reporting and data system.