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Table 5 Definitive pathology examination and immunohistochemistry

From: Calcitonin negative Medullary Thyroid Carcinoma: a challenging diagnosis or a medical dilemma?

Authors

Cell morphological characteristics

Neuroendocrine tumor structure

Amyloid substance

Lymph node metastasis

Thyroid capsular invasion

Vascular tumor thrombus

Sobol

Ovoid-to-spindle-shaped in groups divided by fibrous septum

Neurosecretory granules

Focal

NA

NA

NA

Schmid 1

Polygonal and spindle cells

NA

NA

NA

Negative

Negative

Schmid 2

Polygonal and spindle cells

NA

NA

NA

Negative

Negative

Schmid 3

Polygonal and spindle cells

NA

NA

NA

Positive

Positive

Schmid 4

Polygonal and spindle cells

NA

NA

NA

Positive

Positive

Redding

Nets of fairly uniform cells

NA

NA

NA

Negative

NA

Bockhorn

Polyhedral and spindle cells

Positive

NA

NA

Negative

NA

Sand

NA

NA

NA

Positive

Positive

Positive

Dora

Spindle-shaped celss

NA

Positive

Positive

Positive

Positive

Wang

NA

NA

Negative

Positive

Positive

Positive

Giovanella

Elongated cells

NA

NA

NA

NA

NA

Alapat

Spindle-round-polygonal cells

NA

NA

Positive

Positive

Positive

Chernyavsky

Fairly uniform round and polygonal cells

Positive

NA

Negative

Negative

Negative

Nakazawa

“Zellballen” pattern

NA

NA

Negative

Negative

Negative

Frank-Raue 1

NA

NA

NA

NA

NA

NA

Frank-Raue 2

NA

NA

NA

NA

NA

NA

Frank-Raue 3

NA

NA

NA

NA

NA

NA

Frank-Raue 4

NA

NA

NA

NA

NA

NA

Frank-Raue 5

NA

NA

NA

NA

NA

NA

Frank-Raue 6

NA

NA

NA

NA

NA

NA

Frank-Raue 7

NA

NA

NA

NA

NA

NA

Ismi

Atypical cells

Positive

NA

NA

NA

NA

Brutsaert

NA

NA

NA

Negative

Positive

Negative

Kim

NA

Positive

NA

Negative

Negative

Negative

Kasajima

Polygonal-spindle-shaped cells

Positive

NA

Negative

Negative

Negative

Samà 1

Small-spindle cells

Positive

Positive

NA

NA

NA

Samà 2

NA

NA

NA

NA

NA

NA

Samà 3

NA

NA

NA

NA

NA

NA

Samà 4

NA

NA

NA

NA

NA

NA

Parmer

Spindle-round cells

NA

Negative

NA

NA

NA

Zhou

Polygonal cells in 17 cases

Spindle cells in 2 cases

Positive in 16 cases

Negative in 3 cases

Positive in 11 cases

Negative in 8 cases

Positive in 3 cases

Negative in 16 cases

Positive in 8 cases

Negative in 11 cases

Positive in 1 case

Negative in 18 cases

  1. (NA not avaible)