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. Author manuscript; available in PMC: 2017 Aug 2.
Published in final edited form as: JAMA Oncol. 2016 Aug 1;2(8):1023–1029. doi: 10.1001/jamaoncol.2016.0386
1. Encapsulation or clear demarcationa
2. Follicular growth patternb with
  <1% Papillae
  No psammoma bodies
  <30% Solid/trabecular/insular growth pattern
3. Nuclear score 2–3
4. No vascular or capsular invasionc
5. No tumor necrosis
6. No high mitotic activityd
a

Thick, thin, or partial capsule or well circumscribed with a clear demarcation from adjacent thyroid tissue.

b

Including microfollicular, normofollicular, or macrofollicular architecture with abundant colloid.

c

Requires adequate microscopic examination of the tumor capsule interface.

d

High mitotic activity defined as at least 3 mitoses per 10 high-power fields (400×).