Table 2.
Case # | Original diagnosis | Revised diagnosis | Multinodularity | Fusion | Growth Pattern(s) | LVI | PNI | ETE | Margin |
---|---|---|---|---|---|---|---|---|---|
1 | PTC | PTC | na | EML4-NTRK3 | Primary tumor not availablea; brain metastasis was oncocytic forming microfollicles and papillae | + | − | − | − |
2 | PTC | PTC | + | ETV6-NTRK3 | Predominantly (90%) follicular with scatted papillae (10%); psammoma calcifications | + | − | +st | + |
3 | PTC | PTC | + | ETV6-NTRK3 | Predominantly (90%) follicular with scatted papillae (10%); psammoma calcifications | + | − | +st | − |
4 | PTC | PTC | + | ETV6-NTRK3 | Predominantly (70%) follicular with scatted papillae (20%); 10% tall cell; no psammoma calcification | + | − | +sm | + |
5 | PTC | PTC | + | RBPMS-NTRK3 | Primary tumor not availablea; lymph node metastasis was predominantly (90%) follicular with scatted papillae (10%) | + | − | +sm | + |
6 | PTC | PTC | + | RBPMS-NTRK3 | Predominantly (90%) follicular with scatted papillae (10%); psammoma calcifications | + | − | +st | − |
7 | PTC | PTC | + | SQSTM1-NTRK1 | Labyrinthine pattern formed by coalescent true and abortive papillae; no psammoma calcification | + | − | − | + |
8 | PTC | PTC | + | SQSTM1-NTRK3 | Insular and oncocytic with scattered microfollicles; increased mitotic activity; no psammoma calcification | + | − | +sm | + |
9 | PTC | PTC | + | TPR-NTRK1 | Packeted papillae with psammoma calcifications | + | − | +st | − |
10 | PTC | PTC | + | TPR-NTRK1 | Packeted papillae with psammoma calcifications | + | + | +st | + |
11 | PTC | SC | + | ETV6-NTRK3 | Microcystic; intracellular and extracellular eosinophilic material; no psammoma calcifications | + | − | +sm | + |
PTC papillary thyroid carcinoma, SC secretory carcinoma, na not available, LVI lymphovascular invasion, PNI perineural invasion, ETE extrathyroidal extension, microscopic or macroscopic, +st present in perithyroidal soft tissue, +sm present in strap muscle.
For cases #1 and #5, the histologic slides for the primary tumor were not available for the study, and written reports were reviewed.