Percentage of papillae within the tumor, nodal metastasis, and BRAF/NRAS mutation. (A) Papillae within the tumor and risk of nodal metastasis. (B) Papillae within the tumor and BRAFV600E/NRASQ61R status subdivided to BRAFV600E positive, NRASQ61R positive and negative for both immunostains; on the y axis, the tumor groups are subdivided based on the percentage of papillae, and the x axis shows the number of tumors. (C) Diagram showing how an increasing percentage of papillae within the tumor is associated with a higher rate of N1 disease, BRAFV600E, and a lower frequency of NRASQ61R. The BRAF and NRAS mutational status was determined by immunohistochemistry using monoclonal antibodies for BRAFV600E and NRASQ61R in a subset of 100 randomly selected cases.