Vascular and capsular pseudoinvasion in thyroid neoplasms

Int J Surg Pathol. 2009 Dec;17(6):449-51. doi: 10.1177/1066896909342565. Epub 2009 Aug 10.

Abstract

The diagnosis of follicular carcinoma of the thyroid requires the identification of capsular and/or vascular invasion, with the exception of distant metastases. However, several artifacts may mimic both vascular and capsular invasion. This article presents two cases of pseudo invasion in encapsulated follicular neoplasms. Their differentiation from true vascular and capsular invasion is discussed and the criteria for true invasion are reviewed.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma, Follicular / diagnosis*
  • Adenoma / diagnosis*
  • Adult
  • Artifacts*
  • Diagnosis, Differential
  • Diagnostic Errors / prevention & control*
  • Female
  • Humans
  • Middle Aged
  • Neoplasm Invasiveness / diagnosis
  • Thyroid Neoplasms / diagnosis*