Evidence map›Paper›PMID 40762994›Full record

ReviewThe Journal of pathology2025

Revisionist history uncovers a simplified molecular-based classification of differentiated thyroid cancer.

Sylvia L Asa, Zubair Baloch, Chan Kwon Jung, Nicole A Cipriani, Armando Gamboa-Domínguez, C Christofer Juhlin, Nicole D Riddle, Ivan J Stojanov, Ozgur Mete

Abstract readReview
In one paragraph

Review in The Journal of pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. The actual and future role of molecular tests in thyroid pathology.Virchows Archiv : an international journal of pathology · 2026
    Review
  6. Review
  7. Article
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

9 authors.

Sylvia L AsaUniversity Hospitals Cleveland Medical Center and Case Western Reserve University, Cleveland, OH, USA.ORCID 0000-0001-8418-5054
Zubair BalochUniversity of Pennsylvania Medical Center - Perelman School of Medicine, Philadelphia, PA, USA.ORCID 0000-0001-9342-3069
Chan Kwon JungDepartment of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.ORCID 0000-0001-6843-3708
Nicole A CiprianiDepartment of Pathology, The University of Chicago, Chicago, IL, USA.ORCID 0000-0003-3092-2746
Armando Gamboa-DomínguezDepartamento de Patología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico.ORCID 0000-0002-1983-0384
C Christofer JuhlinDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-5945-9081
Nicole D RiddleTampa General Hospital, University of South Florida, Ruffolo, Hooper, and Associates, Tampa, FL, USA.
Ivan J StojanovDepartment of Pathology and Laboratory Medicine, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0001-5903-350X
Ozgur MeteDepartment of Pathology, University Health Network, and Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-0469-2801

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The diagnostic classification of differentiated thyroid cancer has been a longstanding topic of debate among pathologists, largely due to high interobserver variability. This complexity has increased with the expansion of tumor types and subtypes. However, molecular studies have revealed a simpler and less controversial approach, categorizing these lesions into RAS-like and BRAF p.V600E-like neoplasms. In this review, the authors propose a classification that is based on, but does not require, the confirmation of molecular alterations. This approach aligns with and helps inform the pattern-based assessment of tumor growth and cytologic atypia that is already widely used in clinical practice for preoperative patient stratification and tumor diagnosis, and promises a simpler conceptual understanding. © 2025 The Author(s). The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.

Indexed as

Biomarkers, TumorThyroid NeoplasmsCell DifferentiationHumansMutationProto-Oncogene Proteins B-rafBiomarkers, TumorBRAF protein, humanProto-Oncogene Proteins B-rafclassificationfollicular thyroid carcinomaimmunohistochemistryinvasionmolecularmorphologynuclear atypiaPapillary thyroid carcinomathyroid carcinoma

Identifiers

PMID40762994
PMCPMC12438045

What OpenQuestion holds

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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.