Evidence map›Paper›PMID 31515532›Full record

ArticleScientific reports2019

Clinical-pathological issues in thyroid pathology: study on the routine application of NIFTP diagnostic criteria.

Valentina Canini, Davide Leni, Angela Ida Pincelli, Marcella Scardilli, Mattia Garancini, Chiara Villa, Camillo Di Bella, Giulia Capitoli, Riccardo Cimini, Biagio Eugenio Leone and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 38 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Valentina CaniniPathology, Department of Medicine and Surgery, University of Milano-Bicocca, San Gerardo, Italy.
Davide LeniRadiology, Department of Medicine and Surgery, University of Milano-Bicocca, San Gerardo, Italy.
Angela Ida PincelliDepartment of Endocrinology, San Gerardo Hospital, Monza, Italy.
Marcella ScardilliDepartment of Surgery, San Gerardo Hospital, Monza, Italy.
Mattia GaranciniDepartment of Surgery, San Gerardo Hospital, Monza, Italy.
Chiara VillaDepartment of Otolaryngology, San Gerardo Hospital, Monza, Italy.
Camillo Di BellaPathology, Department of Medicine and Surgery, University of Milano-Bicocca, San Gerardo, Italy.
Giulia CapitoliCenter of Biostatistics for Clinical Epidemiology, Department of Medicine and Surgery, University of Milano-Bicocca, Vedano al Lambro, Italy.
Riccardo CiminiPathology, Department of Medicine and Surgery, University of Milano-Bicocca, San Gerardo, Italy.
Biagio Eugenio LeonePathology, Department of Medicine and Surgery, University of Milano-Bicocca, San Gerardo, Italy.
Fabio PagniPathology, Department of Medicine and Surgery, University of Milano-Bicocca, San Gerardo, Italy. fabio.pagni@unimib.it.
University of Milano-Bicocca · ITAzienda Ospedaliera San Gerardo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2017, the WHO classification of tumours of the endocrine organs established the criteria for a NIFTP diagnosis. The present paper considers some aspects that are still debated or unresolved: the real incidence and clinical meaning of multifocal/multinodular lesions, the biological behaviour of micro-NIFTP, the sprinkling phenomenon and the corresponding modifications to the FNA reporting systems based on changes to the ROM. Moreover, the paper suggests possible scenarios for the clinical-pathological management of this entity. From the initial 1470 cases, a group of 68 NIFTPs was recruited in a 9 year-long period. The average age at diagnosis was 55 years. The average diameter of the lesion was 1.7 cm (0.1 cm-10 cm). In 41 cases (60.1%), the lesion was inserted in the context of a multinodular background. In 12 cases, the diagnosis was incidental and the pre- operative FNA was performed on a different target. In 10 out of 68 cases, there was a multifocal NIFTP; in 14.7% of patients, PTC-like nuclear features showed sprinkling phenomenon. The cytological revision allocated 21 cases (49%) to the SIAPEC TIR3 indeterminate class and a nuclear score 2 or 3 were identified in 25 smears. Multifocality is part of the spectrum of NIFTPs, that can arise in a multinodular background with variable sizes from microscopic lesions to very large ones. Cytopathological criteria such as an evaluation of the nuclear score may help the pathologists in promoting a NIFTP diagnosis in the preoperative setting.

Indexed as

Preoperative CareThyroid GlandThyroid NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle Aged

Identifiers

PMID31515532
PMCPMC6742662
OpenAlexW2973165446

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.