Table 1.
Original diagnostic criteria10 | Revised diagnostic criteria19 | |
---|---|---|
Encapsulation or clear demarcation | ||
X | X | |
Follicular growth pattern | X | X |
< 1% papillary structures | X | |
No well-formed papillae | X | X |
Nuclear features of PTC | X | X |
No psammoma bodies | X | X |
Nuclear features | X | X |
Score 2–3 | X | X |
Nuclear elongation/grooves/chromatin clearing | X | X |
< 30% solid/trabecular/insular growth pattern | X | X |
No vascular and capsular invasion | X | X |
No tumor necrosis | X | X |
No high mitotic activity | X | X |
Lack of BRAFV600E mutation with IHC or molecular testing | X | X |
Lack of BRAF-like mutations or other high-risk mutations (TERT and TP53) | X | X |
PTC, papillary thyroid carcinoma; IHC, immunohistochemistry; X, inclusion criteria
Partially adapted from a table by Rossi ED and Faquin WC in Cancer Cytopathology 2018 [41]