2006
DOI: 10.1136/jcp.2006.038604
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Our approach to follicular-patterned lesions of the thyroid

Abstract: Follicular-patterned lesions of the thyroid are common; these include hyperplastic/adenomatoid nodules, follicular adenoma, follicular carcinoma and follicular variants of papillary carcinoma. Most of these lesions can be diagnosed with ease; however, there is a controversial subgroup. In this review, we present our diagnostic approach based on our experience with the histological diagnosis of these tumours, which can help in appropriate clinical management.

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Cited by 121 publications
(75 citation statements)
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References 80 publications
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“…Follicular thyroid carcinoma (FTC), the second most common differentiated thyroid cancer, shows more aggressive clinicopathological features and a greater rate of recurrence than papillary thyroid carcinomas (PTCs). Additionally, FTCs are more prone to metastasize to the lung, bone, brain, and liver in comparison with PTCs (Baloch & LiVolsi 2007, Witt 2008. Moreover, FTC can only be diagnosed if capsule and vascular invasion are found in the surgical resection specimens, making it difficult to diagnose by fine needle aspiration (FNA) biopsy (Baloch & LiVolsi 2007).…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Follicular thyroid carcinoma (FTC), the second most common differentiated thyroid cancer, shows more aggressive clinicopathological features and a greater rate of recurrence than papillary thyroid carcinomas (PTCs). Additionally, FTCs are more prone to metastasize to the lung, bone, brain, and liver in comparison with PTCs (Baloch & LiVolsi 2007, Witt 2008. Moreover, FTC can only be diagnosed if capsule and vascular invasion are found in the surgical resection specimens, making it difficult to diagnose by fine needle aspiration (FNA) biopsy (Baloch & LiVolsi 2007).…”
Section: Introductionmentioning
confidence: 99%
“…Additionally, FTCs are more prone to metastasize to the lung, bone, brain, and liver in comparison with PTCs (Baloch & LiVolsi 2007, Witt 2008. Moreover, FTC can only be diagnosed if capsule and vascular invasion are found in the surgical resection specimens, making it difficult to diagnose by fine needle aspiration (FNA) biopsy (Baloch & LiVolsi 2007). Understanding the genetic alterations in FTCs and their mechanisms is fundamentally important in developing new molecular markers for earlier diagnosis and novel therapeutic targets.…”
Section: Introductionmentioning
confidence: 99%
“…None of them showed conclusive results [22,23]. It has to be mentioned that DNA microarray gene analysis on thyroid tumors successfully discriminated benign and malignant tumors including borderline lesions [24]. Continuous progress in molecular studies on thyroid tumors hopefully will determine the emergence of a useful diagnostic tool in the future.…”
Section: Case Examplementioning
confidence: 99%
“…3,7 Follicular carcinomas represent approximately 5% of all thyroid malignancies in the United States.…”
Section: This Article Is Part Of the Five Top Stories In Anatomicmentioning
confidence: 99%
“…3,4 The differential diagnoses of a lesion with this pattern include, but are not limited to, FC, follicular adenoma (FA), goiter or hyperplasic nodule, follicular variant of papillary thyroid carcinoma (FVPTC), and Hürthle cell tumor. 3,[5][6][7] The distinction between these entities, based on the morphologic and immunohistochemical (IHC) characteristics, is not always easy and even more disappointingly, there is no general consensus about the criteria based on which a pathologist could make the appropriate diagnosis. 4 No wonder some have referred to these lesions as ''bane of the pathologist.…”
Section: This Article Is Part Of the Five Top Stories In Anatomicmentioning
confidence: 99%