Table 2.
Incidence and common ultrasonographic features of the PTC variants
Variant | Incidence | Common ultrasonographic feature |
---|---|---|
Tall cell variant | 4%-17% of PTCs | Typical malignant featuresa), frequent nodal metastasis |
Columnar cell variant | No report | Typical malignant features vs. circumscribed border |
Hobnail variant | No report | Typical malignant features, frequent nodal metastasis |
Solid variant | 3% of PTCs | Typical malignant features vs. circumscribed border |
Diffuse sclerosing variant | 0.7%-6.6% of PTCs | Ill-defined mass, scattered microcalcifications, nodal metastasis |
Follicular variant (encapsulated) | 10%-20% of all thyroid cancers | Solid hypoechoic or isoechoic nodule |
Cribriform-morular variant | 1% of FAP patients | Solid oval to round nodule without calcification |
Warthin-like variant | No report | Benign-looking nodule, heterogeneous parenchyma |
PTC, papillary thyroid carcinoma; FAP, familial adenomatous polyposis.
Typical malignant features include a solid hypoechoic nodule with microcalcification, a spiculated/microlobulated margin, or nonparallel orientation.