24 yo, thyroid. Well defined white mass on gross. This is as far as it goes into the capsule after multiple levels. Has there been recent changes in the criteria? Or any new studies? What would you call this? @BinXu16 @ariella8 @HeadandNeckPath @PathDocBoston @DrGeeONE @Montey87
@TjLimMD @ariella8 @HeadandNeckPath @PathDocBoston @DrGeeONE @Montey87 can you show high power for architecture (solid or not; papillary or not) and nuclear features? "not yet" CI is another topic without consensus: Europe call these "UMP"; some in north America think that it is not enough for CI, whereas others call this CI.
@TjLimMD @ariella8 @HeadandNeckPath @PathDocBoston @DrGeeONE @Montey87 CAP has a footnote under CI: some pathologists consider incomplete penetrance is sufficient for CI. At my place, we require complete penetration but cut many levels for situation as this. Ur lesion looks solid, if with nuclear features, it is PTC solid regardless of invasion.
@TjLimMD @ariella8 @HeadandNeckPath @PathDocBoston @DrGeeONE @Montey87 Also, if it is a large lesion, submit more (entire capsule) and cut levels. These are your best friends in thyroid pathology
@TjLimMD @ariella8 @HeadandNeckPath @PathDocBoston @DrGeeONE @Montey87 From our upcoming review if helps
@BinXu16 Thank you Bin. My scopes kinda fuzzy. This tumor does not have papillary features,pattern & nuclei.We used to call partial capsule invasion as FTC, but some issues did arise. This one has vague mushroom and with thin capsule & Incomplete(?) transgression.
@BinXu16 @TjLimMD @ariella8 @HeadandNeckPath @PathDocBoston @DrGeeONE @Montey87 👍🏻👌🏻🙏🏻