Macerola Elisabetta, Proietti Agnese, Basolo Fulvio
Department of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Section of Anatomical Pathology, University Hospital of Pisa, Pisa, Italy.
Gland Surg. 2020 Jan;9(Suppl 1):S47-S53. doi: 10.21037/gs.2019.12.24.
Since its first official definition in 2016, the new histo-pathological entity of noninvasive follicular neoplasm with papillary-like nuclear features (NIFTP) has attracted much interest among "thyroidologists" worldwide. This is a subset of encapsulated and noninvasive follicular variant papillary thyroid cancer, whose introduction had the intent of de-escalating treatment given its very low malignant potential, approaching to that of follicular adenomas. Many researchers focused on the possibility of preoperatively identifying NIFTP, and investigated their cyto-morphological and molecular characteristics; other ones explored histological and clinical-pathological NIFTP features. Although the majority of published studies confirmed that NIFTP are indolent lesions, some papers did question their low-risk nature. In this brief review, the main aspects of histology, cytology and molecular pathology of NIFTP are discussed based on the current literature.
自2016年首次给出官方定义以来,具有乳头状核特征的非侵袭性滤泡性肿瘤(NIFTP)这一新的组织病理学实体在全球“甲状腺专家”中引起了广泛关注。这是包膜性和非侵袭性滤泡型乳头状甲状腺癌的一个子集,引入该实体的目的是鉴于其极低的恶性潜能(接近滤泡性腺瘤)而降低治疗强度。许多研究人员专注于术前识别NIFTP的可能性,并研究其细胞形态学和分子特征;其他研究人员则探索了NIFTP的组织学和临床病理特征。尽管大多数已发表的研究证实NIFTP是惰性病变,但一些论文确实对其低风险性质提出了质疑。在这篇简短的综述中,我们根据当前文献讨论了NIFTP的组织学、细胞学和分子病理学的主要方面。