{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T21:03:15Z","timestamp":1792184595267,"version":"4.4.0"},"reference-count":123,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100005294","name":"Massachusetts General Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005294","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","surgpath.theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgical Pathology Clinics"],"published-print":{"date-parts":[[2019,12]]},"DOI":"10.1016\/j.path.2019.08.001","type":"journal-article","created":{"date-parts":[[2019,10,28]],"date-time":"2019-10-28T18:25:02Z","timestamp":1572287102000},"page":"865-881","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":57,"title":["Pitfalls in Thyroid Cytopathology"],"prefix":"10.1016","volume":"12","author":[{"given":"Esther Diana","family":"Rossi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adebowale J.","family":"Adeniran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William C.","family":"Faquin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.path.2019.08.001_bib1","series-title":"The Bethesda system for reporting\u00a0thyroid cytopathology. Definitions, criteria and explanatory notes","author":"Ali","year":"2018"},{"issue":"5","key":"10.1016\/j.path.2019.08.001_bib2","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1097\/SLA.0b013e3180f61adc","article-title":"Fine-needle aspiration may miss a third of all malignancy in palpable thyroid nodules: A comprehensive literature review","volume":"246","author":"Tee","year":"2007","journal-title":"Ann Surg"},{"key":"10.1016\/j.path.2019.08.001_bib3","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1002\/1097-0142(20001225)90:6<325::AID-CNCR1>3.0.CO;2-U","article-title":"Fine-needle aspiration cytology of the thyroid: an appraisal","volume":"90","author":"Cramer","year":"2000","journal-title":"Cancer"},{"key":"10.1016\/j.path.2019.08.001_bib4","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1530\/EJE-08-0135","article-title":"Thyroid nodules: a review of current guidelines, practices and prospects","volume":"159","author":"Gharib","year":"2008","journal-title":"Eur J Endocrinol"},{"key":"10.1016\/j.path.2019.08.001_bib5","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1002\/1097-0142(20001225)90:6<357::AID-CNCR6>3.0.CO;2-4","article-title":"Usefulness of fine- needle aspiration in the diagnosis of thyroid carcinomas. A retrospective study in 37,895 patients","volume":"90","author":"Ravetto","year":"2000","journal-title":"Cancer Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib6","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1002\/1097-0142(20000825)90:4<239::AID-CNCR7>3.0.CO;2-S","article-title":"Fine-needle aspiration of the thyroid. Importance of an indeterminate diagnostic category","volume":"90","author":"Poller","year":"2000","journal-title":"Cancer Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib7","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1111\/j.1365-2303.2009.00659.x","article-title":"Thyroid fine-needle aspiration cytology processed by Thin Prep: An additional slide decreased the number of inadequate results","volume":"21","author":"Rossi","year":"2010","journal-title":"Cytopathology"},{"key":"10.1016\/j.path.2019.08.001_bib8","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1002\/dc.20830","article-title":"Diagnostic terminology and morphologic criteria for cytologic diagnosis of thyroid lesions: a synopsis of the National Cancer Institute Fine-needle aspiration state-of-science Conference","volume":"36","author":"Baloch","year":"2008","journal-title":"Diagn Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib9","series-title":"Guidance on the reporting of thyroid cytology specimens","author":"Cross","year":"2016"},{"key":"10.1016\/j.path.2019.08.001_bib10","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1002\/cncr.22955","article-title":"Fine needle aspiration of thyroid nodules: A study of 4703 patients with histologic and clinical correlations","volume":"111","author":"Yang","year":"2007","journal-title":"Cancer"},{"key":"10.1016\/j.path.2019.08.001_bib11","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1056\/NEJMoa1203208","article-title":"Preoperative diagnosis of benign thyroid nodules with indeterminate cytology","volume":"367","author":"Alexander","year":"2012","journal-title":"N\u00a0Engl J Med"},{"issue":"1","key":"10.1016\/j.path.2019.08.001_bib12","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.jamcollsurg.2007.02.075","article-title":"Does routine consultation of thyroid Fine needle aspiration cytology change surgical management?","volume":"205","author":"Tan","year":"2007","journal-title":"J\u00a0Am Coll Surg"},{"issue":"5","key":"10.1016\/j.path.2019.08.001_bib13","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1097\/PAP.0b013e3182666398","article-title":"Analysis of the Bethesda system for reporting thyroid cytopathology and similar precursor thyroid cytopathology reporting schemes","volume":"19","author":"Wong","year":"2012","journal-title":"Adv Anat Pathol"},{"key":"10.1016\/j.path.2019.08.001_bib14","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.jamcollsurg.2011.04.029","article-title":"Fine needle aspiration of the thyroid: correlation with final histopathology in a surgical series of 797 patients","volume":"213","author":"Lew","year":"2011","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.path.2019.08.001_bib15","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1016\/j.cell.2014.09.050","article-title":"Integrated genomic characterization of papillary thyroid carcinoma","volume":"159","year":"2014","journal-title":"Cell"},{"key":"10.1016\/j.path.2019.08.001_bib16","doi-asserted-by":"crossref","first-page":"1351","DOI":"10.1089\/thy.2009.0240","article-title":"Molecular diagnostics and predictors in thyroid cancer","volume":"19","author":"Nikiforova","year":"2009","journal-title":"Thyroid"},{"key":"10.1016\/j.path.2019.08.001_bib17","doi-asserted-by":"crossref","first-page":"2092","DOI":"10.1210\/jc.2009-0247","article-title":"Molecular testing for mutations in improving the fine needle aspiration diagnosis of thyroid nodules","volume":"94","author":"Nikiforov","year":"2009","journal-title":"J\u00a0Clin Endocrinol Metab"},{"key":"10.1016\/j.path.2019.08.001_bib18","doi-asserted-by":"crossref","first-page":"2187","DOI":"10.1210\/jcem.86.5.7504","article-title":"Analysis of RET\/PTC gene rearrangements refines the fine needle aspiration diagnosis of thyroid cancer","volume":"86","author":"Cheung","year":"2001","journal-title":"J\u00a0Clin Endocrinol Metab"},{"key":"10.1016\/j.path.2019.08.001_bib19","doi-asserted-by":"crossref","first-page":"2589","DOI":"10.1007\/s00268-010-0720-0","article-title":"Molecular testing for somatic mutations improves the accuracy of thyroid fine needle aspiration biopsy","volume":"34","author":"Moses","year":"2010","journal-title":"World J Surg"},{"key":"10.1016\/j.path.2019.08.001_bib20","doi-asserted-by":"crossref","first-page":"2595","DOI":"10.1007\/s00268-010-0729-4","article-title":"Detection of papillary carcinoma by analysis of BRAF and RET\/PTC1 mutations in fine needle aspiration biopsies of thyroid nodules","volume":"34","author":"Musholt","year":"2010","journal-title":"World J Surg"},{"key":"10.1016\/j.path.2019.08.001_bib21","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1210\/er.2007-0007","article-title":"BRAF mutation in papillary thyroid cancer: pathogenic role, molecular bases, and clinical implications","volume":"28","author":"Xing","year":"2007","journal-title":"Endocr Rev"},{"key":"10.1016\/j.path.2019.08.001_bib22","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1530\/EJE-09-1103","article-title":"Ultrasound-guided fine needle aspiration of thyroid nodules: stratification of malignancy risk using follicular proliferation grading , clinical and ultrasonographic features","volume":"162","author":"Rorive","year":"2001","journal-title":"Eur J Endocrinol"},{"key":"10.1016\/j.path.2019.08.001_bib23","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1245\/s10434-011-1807-z","article-title":"Diagnostic accuracy of surgeon-performed ultrasound guided fine needle aspiration of thyroid nodules","volume":"19","author":"Bohacek","year":"2012","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.path.2019.08.001_bib24","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1111\/j.1365-2303.2010.00777.x","article-title":"Is a five-category reporting scheme for thyroid fine needle aspiration cytology accurate? Experience of over 18,000 FNAs reported at the same institution during 1998-2007","volume":"22","author":"Piana","year":"2011","journal-title":"Cytopathology"},{"key":"10.1016\/j.path.2019.08.001_bib25","first-page":"195","article-title":"The indeterminate thyroid fine needle aspiration: experience from an academic center using terminology similar to that proposed in the 2007 National cancer institute thyroid fine needle aspiration state of the science conference","volume":"117","author":"Nayar","year":"2009","journal-title":"Cancer"},{"key":"10.1016\/j.path.2019.08.001_bib26","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1007\/s12022-013-9240-4","article-title":"Radiologic and clinical predictors of malignancy in the follicular lesion of undetermined significance of the thyroid","volume":"24","author":"Carr","year":"2013","journal-title":"Endocr Pathol"},{"key":"10.1016\/j.path.2019.08.001_bib27","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1002\/cncy.20041","article-title":"Predictors of malignancy in thyroid fine-needle aspirates \u201ccyst fluid only\u201d cases. Can potential clues of malignancy be identified?","volume":"120","author":"Jaragh","year":"2009","journal-title":"Cancer Cytopathol"},{"issue":"8","key":"10.1016\/j.path.2019.08.001_bib28","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1002\/dc.23512","article-title":"Multiple squamous cells in thyroid fine needle aspiration: friends or foes?","volume":"44","author":"Gage","year":"2016","journal-title":"Diagn Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib29","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1002\/cncr.20832","article-title":"Atypical cells in needle aspiration biopsy specimens of benign thyroid cysts","volume":"105","author":"Faquin","year":"2005","journal-title":"Cancer"},{"key":"10.1016\/j.path.2019.08.001_bib30","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4103\/1742-6413.45193","article-title":"Hemosiderin laden macrophages and hemosiderin within follicular cells distinguish benign follicular lesions from follicular neoplasms","volume":"6","author":"Jaffar","year":"2009","journal-title":"Cytojournal"},{"key":"10.1016\/j.path.2019.08.001_bib31","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1002\/cncy.21976","article-title":"Thyroid FNA biopsies comprised of abundant, mature squamous cells can be reported as benign: A cytologic study of 18 patients with clinical correlation","volume":"126","author":"Chen","year":"2018","journal-title":"Cancer Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib32","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.prp.2005.11.002","article-title":"Massive squamous metaplasia of the thyroid gland-- report of three cases","volume":"202","author":"Ryska","year":"2006","journal-title":"Pathol Res Pract"},{"issue":"8","key":"10.1016\/j.path.2019.08.001_bib33","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1177\/000313481408000834","article-title":"False-negative results with the Bethesda system of reporting thyroid cytopathology: Predictors of malignancy in thyroid nodules classified as benign by cytopathologic evaluation","volume":"80","author":"Richmond","year":"2014","journal-title":"Am Surg"},{"issue":"1","key":"10.1016\/j.path.2019.08.001_bib34","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1002\/dc.20075","article-title":"Can cytomorphology differentiate between benign nodules and tumors arising in Graves\u2019 disease?","volume":"30","author":"Anderson","year":"2004","journal-title":"Diagn Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1089\/thy.2015.0020","article-title":"American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer. 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer","volume":"26","author":"Haugen","year":"2016","journal-title":"Thyroid"},{"key":"10.1016\/j.path.2019.08.001_bib36","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1046\/j.1365-2265.2001.01415.x","article-title":"Graves\u2019 disease, thyroid nodules and carcinoma","volume":"55","author":"Belfiore","year":"2001","journal-title":"Clin Endocrinol"},{"key":"10.1016\/j.path.2019.08.001_bib37","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1210\/jcem-38-6-976","article-title":"Malignant and benign neoplasm of the thyroid in patients treated for hyperthyroidism: A report of the cooperative thyro-toxicosis therapy follow-up study","volume":"38","author":"Dobyns","year":"1974","journal-title":"J\u00a0Clin Endocrinol Metab"},{"issue":"3","key":"10.1016\/j.path.2019.08.001_bib38","first-page":"145","article-title":"Cytomorphologic spectrum of lymphocytic thyroiditis and correlation between cytological grading and biochemical parameters","volume":"33","author":"Anila","year":"2016","journal-title":"J\u00a0Cytol"},{"key":"10.1016\/j.path.2019.08.001_bib39","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/1742-6413-4-10","article-title":"Lymphocytic thyroiditis-Is cytological grading significant? A correlation of grades with clinical biochemical, ultrasonographic and radionuclide parameters","volume":"4","author":"Bhatia","year":"2007","journal-title":"Cytojournal"},{"key":"10.1016\/j.path.2019.08.001_bib40","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1111\/coa.12840","article-title":"False-positive cytopathology results for papillary thyroid carcinoma: a trap for thyroid surgeons","volume":"42","author":"Yi","year":"2017","journal-title":"Clin Otolaryngol"},{"issue":"4","key":"10.1016\/j.path.2019.08.001_bib41","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1159\/000468928","article-title":"Thyroid autoimmunity and thyroid cancer: review focused on cytological studies","volume":"6","author":"Boi","year":"2017","journal-title":"Eur Thyroid J"},{"issue":"3","key":"10.1016\/j.path.2019.08.001_bib42","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1002\/(SICI)1097-0339(199703)16:3<214::AID-DC4>3.0.CO;2-F","article-title":"Fine needle aspiration of subacute granulomatous thyroiditis (De quervain\u2019s thyroiditis): a clinic-cytologic review of 36 cases","volume":"16","author":"Solano","year":"1997","journal-title":"Diagn Cytopathol"},{"issue":"8","key":"10.1016\/j.path.2019.08.001_bib43","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1002\/dc.23495","article-title":"Cytologic features of subacute granulomatous thyroiditis can mimic malignancy in liquid-based preparations","volume":"44","author":"Rosa","year":"2016","journal-title":"Diagn Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib44","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1111\/j.1365-2303.2008.00635.x","article-title":"A\u00a0single ThinPrep slide may not be representative in all head and neck fine needle aspirate specimens","volume":"20","author":"Anderson","year":"2009","journal-title":"Cytopathology"},{"key":"10.1016\/j.path.2019.08.001_bib45","doi-asserted-by":"crossref","first-page":"9","DOI":"10.4103\/1742-6413.157479","article-title":"Subacute granulomatous (De Quervain) thyroiditis: Fine needle aspiration cytology and ultrasonographic characteristics of 21 cases","volume":"12","author":"Vural","year":"2015","journal-title":"Cytojournal"},{"key":"10.1016\/j.path.2019.08.001_bib46","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1556\/OH.2014.29865","article-title":"De Quervain thyroiditis. Corner point of the diagnosis","volume":"155","author":"Olah","year":"2014","journal-title":"Orv Hetil"},{"key":"10.1016\/j.path.2019.08.001_bib47","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/S0025-7125(16)30472-2","article-title":"Thyroiditis. Acute, subacute and chronic","volume":"75","author":"Singer","year":"1991","journal-title":"Med Clin North Am"},{"key":"10.1016\/j.path.2019.08.001_bib48","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1007\/s12022-013-9293-4","article-title":"Follicular-patterned afflictions of the thyroid gland: Reappraisal of the most discussed entity in endocrine pathology","volume":"25","author":"Baloch","year":"2014","journal-title":"Endocr Pathol"},{"key":"10.1016\/j.path.2019.08.001_bib49","doi-asserted-by":"crossref","first-page":"148","DOI":"10.5858\/2006-130-148-IAOMIT","article-title":"Interobserver agreement on microfollicles in thyroid fine needle aspirates","volume":"130","author":"Renshaw","year":"2006","journal-title":"Arch Path Lab Med"},{"key":"10.1016\/j.path.2019.08.001_bib50","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1016\/j.surg.2011.09.006","article-title":"The impact of atypia\/follicular lesion of undetermined significance on the rate of malignancy in thyroid fine-needle aspiration: Evaluation of the Bethesda System for Reporting Thyroid Cytopathology","volume":"150","author":"Broome","year":"2011","journal-title":"Surgery"},{"key":"10.1016\/j.path.2019.08.001_bib51","first-page":"298","article-title":"Thyroid fine-needle aspiration with atypia of undetermined significance: a necessary or optional category?","volume":"117","author":"Shi","year":"2009","journal-title":"Cancer"},{"key":"10.1016\/j.path.2019.08.001_bib52","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1007\/s12022-015-9386-3","article-title":"Cytopathology of follicular cell nodules","volume":"26","author":"Damiani","year":"2015","journal-title":"Endocr Pathol"},{"key":"10.1016\/j.path.2019.08.001_bib53","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1245\/s10434-012-2601-2","article-title":"Management of thyroid nodules with atypical cytology on fine-needle aspiration biopsy","volume":"20","author":"Nagarkatti","year":"2013","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.path.2019.08.001_bib54","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1159\/000333232","article-title":"Spectrum of Risk of Malignancy in Subcategories of 'Atypia of Undetermined Significance'","volume":"55","author":"Olson","year":"2011","journal-title":"Acta Cytol"},{"key":"10.1016\/j.path.2019.08.001_bib55","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1002\/dc.21790","article-title":"Thyroid follicular lesion of undetermined significance: Evaluation of the risk of malignancy using the two-tier sub-classification","volume":"40","author":"Horne","year":"2012","journal-title":"Diagn Cytopathol"},{"issue":"5","key":"10.1016\/j.path.2019.08.001_bib56","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1111\/cyt.12555","article-title":"Morphology combined with ancillary techniques: An algorithm approach for thyroid nodules","volume":"29","author":"Rossi","year":"2018","journal-title":"Cytopathology"},{"issue":"1","key":"10.1016\/j.path.2019.08.001_bib57","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1097\/PAP.0000000000000135","article-title":"Cytopathology of Follicular Cell Nodules","volume":"24","author":"Rossi","year":"2017","journal-title":"Adv Anat Pathol"},{"key":"10.1016\/j.path.2019.08.001_bib58","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1089\/thy.2009.0274","article-title":"The Bethesda System for Reporting Thyroid Cytopathology","volume":"9","author":"Cibas","year":"2009","journal-title":"Thyroid"},{"issue":"4","key":"10.1016\/j.path.2019.08.001_bib59","first-page":"603","article-title":"Encapsulated follicular variant of papillary thyroid carcinoma","volume":"118","author":"Baloch","year":"2002","journal-title":"Am J Clin Pathol"},{"issue":"6","key":"10.1016\/j.path.2019.08.001_bib60","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1309\/AJCPEIE12POICULI","article-title":"Fine-needle aspiration diagnoses of noninvasive follicular variant of papillary thyroid carcinoma","volume":"144","author":"Howitt","year":"2015","journal-title":"Am J Clin Pathol"},{"issue":"5","key":"10.1016\/j.path.2019.08.001_bib61","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/j.humpath.2015.01.010","article-title":"Invasion rather than nuclear features correlates with outcome in encapsulated follicular tumors: further evidence for the reclassification of the encapsulated papillary thyroid carcinoma follicular variant","volume":"46","author":"Ganly","year":"2015","journal-title":"Hum Pathol"},{"issue":"8","key":"10.1016\/j.path.2019.08.001_bib62","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1001\/jamaoncol.2016.0386","article-title":"Nomenclature revision for encapsulated follicular variant of papillary thyroid carcinoma: a paradigm shift to reduce overtreatment of indolent tumors","volume":"2","author":"Nikiforov","year":"2016","journal-title":"JAMA Oncol"},{"issue":"7","key":"10.1016\/j.path.2019.08.001_bib63","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1038\/modpathol.2016.65","article-title":"Ninety-four cases of encapsulated follicular variant of papillary thyroid carcinoma: a name change to noninvasive follicular thyroid neoplasm with papillary like nuclear features would help to prevent overtreatment","volume":"29","author":"Thompson","year":"2016","journal-title":"Mod Pathol"},{"issue":"10","key":"10.1016\/j.path.2019.08.001_bib64","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1002\/cncy.21777","article-title":"The morphologic analysis of non-invasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) on liquid based cytology: Some insights of their identification in our institutional experience","volume":"124","author":"Bizzarro","year":"2016","journal-title":"Cancer Cytopathol"},{"issue":"3","key":"10.1016\/j.path.2019.08.001_bib65","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1002\/cncy.21631","article-title":"Impact of reclassifying non invasive FVPC on the risk of malignancy in the Bethesda system for reporting thyroid Cytopathology","volume":"124","author":"Faquin","year":"2016","journal-title":"Cancer Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib66","doi-asserted-by":"crossref","DOI":"10.1001\/jamaoncol.2018.1446","article-title":"Change in diagnostic criteria for noninvasive follicular thyroid neoplasm with papillary like nuclear features","author":"Nikiforov","year":"2018","journal-title":"JAMA Oncol"},{"key":"10.1016\/j.path.2019.08.001_bib67","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1002\/cncy.21892","article-title":"The influence of the noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) resection diagnosis on the false-positive thyroid cytology rate relates to quality assurance thresholds and the application of NIFTP criteria","volume":"125","author":"Ohori","year":"2017","journal-title":"Cancer Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib68","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1002\/dc.21020","article-title":"Parathyroid fine needle aspiration cytology in the evaluation of parathyroid adenoma: cytologic findings from 53 patients","volume":"37","author":"Agarwal","year":"2009","journal-title":"Diagn Cytopathol"},{"issue":"3","key":"10.1016\/j.path.2019.08.001_bib69","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1159\/000326400","article-title":"Asymptomatic intrathyroidal parathyroid adenoma. Report of a case with a cytologic differential diagnosis including thyroid neoplasms","volume":"48","author":"Rossi","year":"2004","journal-title":"Acta Cytol"},{"issue":"9","key":"10.1016\/j.path.2019.08.001_bib70","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1002\/cncy.21888","article-title":"Distinguishing parathyroid and thyroid lesions on ultrasound-guide fine needle aspiration: A correlation of clinical data, ancillary studies and molecular analysis","volume":"125","author":"Cho","year":"2017","journal-title":"Cancer Cytopathol"},{"issue":"4","key":"10.1016\/j.path.2019.08.001_bib71","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1309\/AJCPO0BQ2YSKPXXP","article-title":"Usefulness of diagnostic qualifiers for thyroid fine-needle aspirations with atypia of undetermined significance","volume":"136","author":"Vanderlaan","year":"2011","journal-title":"Am J Clin Pathol"},{"issue":"2","key":"10.1016\/j.path.2019.08.001_bib72","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1002\/cncy.20192","article-title":"The atypia of undetermined significance\/follicular lesion of undetermined significance: malignant ratio: a proposed performance measure for reporting in The Bethesda System for thyroid cytopathology","volume":"120","author":"Krane","year":"2012","journal-title":"Cancer Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib73","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1002\/cncy.20063","article-title":"Contribution of molecular testing to thyroid fine needle aspiration cytology of \u201cFollicular lesion of undetermined significance\/Atypia of undetermined significance\u201d","volume":"118","author":"Ohori","year":"2010","journal-title":"Cancer Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib74","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1159\/000333272","article-title":"BRAF mutation analysis of fine-needle aspiration biopsies of papillary thyroid carcinoma: impact on diagnosis and prognosis","volume":"55","author":"Colanta","year":"2011","journal-title":"Acta Cytol"},{"key":"10.1016\/j.path.2019.08.001_bib75","doi-asserted-by":"crossref","first-page":"3390","DOI":"10.1210\/jc.2011-1469","article-title":"Impact of mutational testing on the diagnosis and management of patients with cytologically indeterminate thyroid nodules: a prospective analysis of 1056 FNA samples","volume":"96","author":"Nikiforov","year":"2011","journal-title":"J\u00a0Clin Endocrinol Metabol"},{"key":"10.1016\/j.path.2019.08.001_bib76","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1002\/cncy.21474","article-title":"Thyroid nodules with KRAS mutations are different from nodules with NRAS and HRAS mutations with regard to cytopathologic and histopathologic outcome characteristics","volume":"122","author":"Radkay","year":"2014","journal-title":"Cancer Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib77","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1002\/cncy.21258","article-title":"BRAF (V600E) mutation analysis on LBC-processed aspiration biopsies predicts bilaterality and nodal involvement in papillary thyroid microcarcinoma","volume":"121","author":"Rossi","year":"2013","journal-title":"Cancer Cytopathol"},{"issue":"5","key":"10.1016\/j.path.2019.08.001_bib78","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1002\/dc.20132","article-title":"Does the fine-needle aspiration diagnosis of \"H\u00fcrthle-cell neoplasm\/follicular neoplasm with oncocytic features\" denote increased risk of malignancy?","volume":"31","author":"Giorgadze","year":"2004","journal-title":"Diagn Cytopathol"},{"issue":"12","key":"10.1016\/j.path.2019.08.001_bib79","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1002\/cncy.21605","article-title":"A\u00a0meta-analytic review of the Bethesda System for Reporting Thyroid Cytopathology: Has the rate of malignancy in indeterminate lesions been underestimated?","volume":"123","author":"Straccia","year":"2015","journal-title":"Cancer Cytopathol"},{"issue":"5","key":"10.1016\/j.path.2019.08.001_bib80","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1530\/EJE-13-0431","article-title":"The cytologic category of oncocytic (Hurthle) cell neoplasm mostly includes low-risk lesions at histology: an institutional experience","volume":"169","author":"Rossi","year":"2013","journal-title":"Eur J Endocrinol"},{"key":"10.1016\/j.path.2019.08.001_bib81","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.5858\/2008-132-1241-TTHOCA","article-title":"The thyroid Hurthle (oncocytic) cell and its associated pathologic conditions: a surgical pathology and cytopathology review","volume":"132","author":"Montone","year":"2008","journal-title":"Arch Pathol Lab Med"},{"key":"10.1016\/j.path.2019.08.001_bib82","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1159\/000358264","article-title":"Fine-needle aspiration cytology of thyroid nodules with hurthle cells: cytomorphologic predictors for neoplasms, improving diagnostic accuracy and overcoming pitfalls","volume":"58","author":"Kasper","year":"2014","journal-title":"Acta Cytol"},{"issue":"3","key":"10.1016\/j.path.2019.08.001_bib83","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1159\/000488441","article-title":"Preoperative Diagnosis of Neoplastic or Malignant H\u00fcrthle Cell Lesions: A Chimera?","volume":"62","author":"D\u00edaz Del Arco","year":"2018","journal-title":"Acta Cytol"},{"issue":"2","key":"10.1016\/j.path.2019.08.001_bib84","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1159\/000326306","article-title":"Aspiration cytology of the oncocytic variant of papillary adenocarcinoma of the thyroid gland","volume":"48","author":"Moreira","year":"2004","journal-title":"Acta Cytol"},{"key":"10.1016\/j.path.2019.08.001_bib85","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1177\/1066896913517938","article-title":"Oncocytic lesions of the thyroid, kidney, salivary glands, adrenal cortex and parathyroid glands","volume":"22","author":"Maximo","year":"2014","journal-title":"Int J Surg Pathol"},{"issue":"2","key":"10.1016\/j.path.2019.08.001_bib86","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1007\/s12022-015-9367-6","article-title":"Poorly differentiated oncocytic (h\u00fcrthle cell) follicular carcinoma: an institutional experience","volume":"26","author":"Bai","year":"2015","journal-title":"Endocr Pathol"},{"issue":"5","key":"10.1016\/j.path.2019.08.001_bib87","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1111\/j.1365-2303.2005.00286.x","article-title":"Granular cell tumour on conventional cytology and thin-layer smears","volume":"16","author":"Rossi","year":"2005","journal-title":"Cytopathology"},{"issue":"8","key":"10.1016\/j.path.2019.08.001_bib88","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1002\/dc.23493","article-title":"Intrathyroidal oxyphilic parathyroid carcinoma: A potential diagnostic caveat in cytology?","volume":"44","author":"Wong","year":"2016","journal-title":"Diagn Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib89","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1097\/PAP.0b013e3182026da6","article-title":"The spectrum of papillary thyroid carcinoma variants","volume":"18","author":"Khanafshar","year":"2011","journal-title":"Adv Anat Pathol"},{"key":"10.1016\/j.path.2019.08.001_bib90","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1385\/EP:17:1:1","article-title":"The many faces and mimics of papillary thyroid carcinoma","volume":"17","author":"Albores-Saavedra","year":"2006","journal-title":"Endocr Pathol"},{"key":"10.1016\/j.path.2019.08.001_bib91","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1136\/jclinpath-2013-201626","article-title":"Aggressive variants of follicular cell derived thyroid carcinoma; the so called \u201cReal Thyroid Carcinomas\u201d","volume":"66","author":"Baloch","year":"2013","journal-title":"J\u00a0Clin Pathol"},{"key":"10.1016\/j.path.2019.08.001_bib92","unstructured":"Rosai J, Carcangiu ML, DeLellis RA. Tumors of the thyroid gland. Vol 3rd series, fascicle 5. Washington, DC: Armed forces institute of pathology."},{"key":"10.1016\/j.path.2019.08.001_bib93","series-title":"WHO Classifications of tumors of the endocrine organs","article-title":"Tumors of the thyroid gland","author":"Llyod","year":"2017"},{"key":"10.1016\/j.path.2019.08.001_bib94","doi-asserted-by":"crossref","first-page":"207","DOI":"10.3949\/ccjm.43.4.207","article-title":"The many appearances of papillary carcinoma of the thyroid","volume":"43","author":"Hawn","year":"1976","journal-title":"Cleve Clin Q"},{"key":"10.1016\/j.path.2019.08.001_bib95","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1136\/jclinpath-2017-204360","article-title":"Hyalinizing trabecular tumor of the thyroid: Fine needle aspiration cytological diagnosis and correlation with histology","volume":"70","author":"Saglietti","year":"2017","journal-title":"J\u00a0Clin Pathol"},{"issue":"9","key":"10.1016\/j.path.2019.08.001_bib96","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1177\/0284185114549225","article-title":"The ultrasonography features of hyalinizing trabecular tumor of the thyroid gland and the role of fine needle aspiration cytology and core needle biopsy in its diagnosis","volume":"56","author":"Choi","year":"2015","journal-title":"Acta Radiol"},{"key":"10.1016\/j.path.2019.08.001_bib97","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1089\/thy.2014.0335","article-title":"Revised American Thyroid Association Guidelines for the Management of Medullary Thyroid Carcinoma. The American Thyroid Association Guidelines Task Force on Medullary Thyroid Carcinoma","volume":"25","author":"Wells","year":"2015","journal-title":"Thyroid"},{"key":"10.1016\/j.path.2019.08.001_bib98","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1111\/cen.12563","article-title":"Detection rate of FNA cytology in medullary thyroid carcinoma: A meta-analysis","volume":"82","author":"Trimboli","year":"2015","journal-title":"Clin Endocrinol"},{"key":"10.1016\/j.path.2019.08.001_bib99","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1002\/(SICI)1097-0339(200006)22:6<351::AID-DC5>3.0.CO;2-T","article-title":"Cytologic diagnosis of medullary carcinoma of the thyroid gland","volume":"22","author":"Papaparaskeva","year":"2000","journal-title":"Diagn Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib100","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1097\/PAP.0000000000000004","article-title":"Update on the cytological and molecular features of medullary thyroid carcinoma","volume":"21","author":"Pusztaszeri","year":"2014","journal-title":"Adv Anat Pathol"},{"issue":"6","key":"10.1016\/j.path.2019.08.001_bib101","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1097\/PAI.0b013e3181690ca3","article-title":"Relevance of immunocytochemistry on thin-layer cytology in thyroid lesions suspicious for medullary carcinoma: a case-control study","volume":"16","author":"Rossi","year":"2008","journal-title":"Appl Immunohistochem Mol Morphol"},{"issue":"1","key":"10.1016\/j.path.2019.08.001_bib102","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1111\/his.13348","article-title":"Special types of thyroid carcinoma","volume":"72","author":"Baloch","year":"2018","journal-title":"Histopathology"},{"key":"10.1016\/j.path.2019.08.001_bib103","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1097\/00000478-198409000-00005","article-title":"Poorly differentiated (insular) thryoid carcinoma. A reinterpretation of Langahns \u201c wuchernde struma\u201d","volume":"8","author":"Carcangiu","year":"1984","journal-title":"Am J Surg Pathol"},{"key":"10.1016\/j.path.2019.08.001_bib104","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1002\/cncr.20087","article-title":"Poorly differentiated carcinomas of the thyroid with trabecular, insular, and solid pattern: A clinicopathological study of 183 patients","volume":"100","author":"Volante","year":"2004","journal-title":"Cancer"},{"key":"10.1016\/j.path.2019.08.001_bib105","first-page":"185","article-title":"Cytomorphologic features of poorly differentiated thyroid carcinoma: a multi-institutional analysis of 40 cases","volume":"117","author":"Bongiovanni","year":"2009","journal-title":"Cancer"},{"key":"10.1016\/j.path.2019.08.001_bib106","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1002\/cncy.21500","article-title":"Cytologic diagnostic approach to poorly differentiated thyroid carcinoma: A single-institution study","volume":"123","author":"Kane","year":"2015","journal-title":"Cancer Cytopathol"},{"key":"10.1016\/j.path.2019.08.001_bib107","doi-asserted-by":"crossref","first-page":"E40","DOI":"10.1002\/dc.21634","article-title":"Fine needle aspiration cytology of insular carcinoma of thyroid","volume":"40","author":"Barwad","year":"2012","journal-title":"Diagn Cytopathol"},{"issue":"5","key":"10.1016\/j.path.2019.08.001_bib108","doi-asserted-by":"crossref","first-page":"1142","DOI":"10.4103\/0973-1482.187239","article-title":"Poorly differentiated carcinoma of thyroid: Case report of an uncommon entity","volume":"14","author":"Khetrapal","year":"2018","journal-title":"J\u00a0Cancer Res Ther"},{"issue":"3","key":"10.1016\/j.path.2019.08.001_bib109","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1111\/cyt.12270","article-title":"Fine needle aspiration cytology features of poorly differentiated thyroid carcinoma","volume":"27","author":"Purkait","year":"2016","journal-title":"Cytopathology"},{"issue":"3","key":"10.1016\/j.path.2019.08.001_bib110","first-page":"435","article-title":"Fine needle aspiration cytology of insular thyroid carcinoma. A report of four cases","volume":"36","author":"Sironi","year":"1992","journal-title":"Acta Cytol"},{"key":"10.1016\/j.path.2019.08.001_bib111","doi-asserted-by":"crossref","DOI":"10.1002\/dc.24147","article-title":"Oncocytic poorly differentiated (insular) thyroid carcinoma mimicking metastatic adenocarcinoma. A case report and review of the literature","author":"Laforga","year":"2019","journal-title":"Diagn Cytopathol"},{"issue":"3","key":"10.1016\/j.path.2019.08.001_bib112","first-page":"525","article-title":"Cytopathology of papillary carcinoma of the thyroid with anaplastic transformation. A case report","volume":"39","author":"Bauman","year":"1995","journal-title":"Acta Cytol"},{"issue":"2","key":"10.1016\/j.path.2019.08.001_bib113","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1159\/000325932","article-title":"Metastatic anaplastic carcinoma of the thyroid mimicking squamous cell carcinoma: report of a case of a challenging cytologic diagnosis","volume":"50","author":"Oktay","year":"2006","journal-title":"Acta Cytol"},{"issue":"5","key":"10.1016\/j.path.2019.08.001_bib114","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1159\/000325388","article-title":"Anaplastic thyroid carcinoma arising in long-standing multinodular goiter following radioactive iodine therapy: report of a case diagnosed by fine needle aspiration","volume":"53","author":"Maatouk","year":"2009","journal-title":"Acta Cytol"},{"issue":"5","key":"10.1016\/j.path.2019.08.001_bib115","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1002\/dc.23254","article-title":"Anaplastic thyroid carcinoma with rhabdoid features","volume":"43","author":"Feng","year":"2015","journal-title":"Diagn Cytopathol"},{"issue":"6","key":"10.1016\/j.path.2019.08.001_bib116","doi-asserted-by":"crossref","first-page":"1400","DOI":"10.3349\/ymj.2013.54.6.1400","article-title":"Anaplastic thyroid cancer: ultrasonographic findings and the role of ultrasonography-guided fine needle aspiration biopsy","volume":"54","author":"Suh","year":"2013","journal-title":"Yonsei Med J"},{"issue":"1","key":"10.1016\/j.path.2019.08.001_bib117","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1002\/dc.2840070117","article-title":"Anaplastic thyroid carcinoma: cytomorphology and clinical implications of fine-needle aspiration","volume":"7","author":"Guarda","year":"1991","journal-title":"Diagn Cytopathol"},{"issue":"2","key":"10.1016\/j.path.2019.08.001_bib118","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1002\/dc.20595","article-title":"Cytology of anaplastic giant cell carcinoma of the thyroid with osteoclast-like giant cells--a case report","volume":"35","author":"Mehdi","year":"2007","journal-title":"Diagn Cytopathol"},{"issue":"2","key":"10.1016\/j.path.2019.08.001_bib119","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1007\/s12022-017-9475-6","article-title":"Diagnosis and Treatment of Metastases to the Thyroid Gland: a Meta-Analysis","volume":"28","author":"Straccia","year":"2017","journal-title":"Endocr Pathol"},{"issue":"4","key":"10.1016\/j.path.2019.08.001_bib120","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1111\/j.1365-2265.2007.02773.x","article-title":"Metastases to the thyroid gland: prevalence, clinicopathological aspects and prognosis: a 10-year experience","volume":"66","author":"Papi","year":"2007","journal-title":"Clin Endocrinol (Oxf)"},{"issue":"5","key":"10.1016\/j.path.2019.08.001_bib121","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1002\/dc.23241","article-title":"Is thyroid gland only a \"land\" for primary malignancies? role of morphology and immunocytochemistry","volume":"43","author":"Rossi","year":"2015","journal-title":"Diagn Cytopathol"},{"issue":"2","key":"10.1016\/j.path.2019.08.001_bib122","first-page":"113","article-title":"The value of the immunohistochemical exam in the diagnosis of the secondary malignant tumors to the thyroid gland","volume":"48","author":"Ciobanu","year":"2007","journal-title":"Rom J Morphol Embryol"},{"key":"10.1016\/j.path.2019.08.001_bib123","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/1742-6413.45191","article-title":"FNA of misclassified primary malignant neoplasms of the thyroid: Impact on clinical management","volume":"6","author":"Shah","year":"2009","journal-title":"Cytojournal"}],"container-title":["Surgical Pathology Clinics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1875918119300571?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1875918119300571?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T14:40:57Z","timestamp":1761748857000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1875918119300571"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":123,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["S1875918119300571"],"URL":"https:\/\/doi.org\/10.1016\/j.path.2019.08.001","relation":{},"ISSN":["1875-9181"],"issn-type":[{"value":"1875-9181","type":"print"}],"subject":[],"published":{"date-parts":[[2019,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Pitfalls in Thyroid Cytopathology","name":"articletitle","label":"Article Title"},{"value":"Surgical Pathology Clinics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.path.2019.08.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}