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Hartmut P Neumann Section for Preventive Medicine, University Medical Center, Albert-Ludwigs-University, Freiburg, Germany

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William F Young Jr Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, New York, USA

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Tobias Krauss Department of Radiology, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

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Jean-Pierre Bayley Department of Human Genetics, Leiden University Medical Center, Leiden, The Netherlands

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Francesca Schiavi Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy

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Giuseppe Opocher Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy

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Carsten C Boedeker Department of Otorhinolaryngology, HELIOS Hanseklinikum Stralsund, Stralsund, Germany

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Amit Tirosh Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

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Frederic Castinetti Department of Endocrinology, Aix-Marseille Université, Institut National de la Santé et de la Recherche Médicale (INSERM), U1251, Marseille Medical Genetics (MMG), Marseille, France
Assistance Publique – Hôpitaux de Marseille (AP-HM), Hôpital de la Conception, Centre de Référence des Maladies Rares Hypophysaires HYPO, Marseille, France

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Juri Ruf Department of Nuclear Medicine, Faculty of Medicine, Albert-Ludwigs-University, Freiburg, Germany

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Dmitry Beltsevich Department of Surgery, Endocrinology Research Center, Moscow, Russia

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Martin Walz Department of Surgery and Center of Minimally-Invasive Surgery, Kliniken Essen-Mitte, Essen, Germany

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Harald-Thomas Groeben Department of Anesthesiology, Kliniken Essen-Mitte, Essen, Germany

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Ernst von Dobschuetz Section of Endocrine Surgery, Clinic of General, Visceral and Thoracic Surgery, Krankenhaus Reinbek, Academic Teaching Hospital University of Hamburg, Reinbek, Germany

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Oliver Gimm Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden
Department of Surgery, Region Östergötland, Linköping, Sweden

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Nelson Wohllk Endocrine Section, Universidad de Chile, Hospital del Salvador, Santiago de Chile, Chile

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Marija Pfeifer Department of Endocrinology, University Medical Center Ljubljana, Ljubljana, Slovenia

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Delmar M Lourenço Jr Endocrine Genetics Unit, Endocrinology Division, Hospital das Clínicas, University of São Paulo School of Medicine (FMUSP), Endocrine Oncology Division, Institute of Cancer of the State of São Paulo, FMUSP, São Paulo, Brazil

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Mariola Peczkowska Department of Hypertension, Institute of Cardiology, Warsaw, Poland

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Attila Patocs HSA-SE ‘Lendület’ Hereditary Endocrine Tumor Research Group, Hungarian Academy of Sciences and Semmelweis University, Budapest, Hungary

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Joanne Ngeow Lee Kong Chian School of Medicine, Nanyang Technological University Singapore and Cancer Genetics Service, National Cancer Centre Singapore, Singapore, Singapore

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Özer Makay Division of Endocrine Surgery, Department of General Surgery, Ege University, Izmir, Turkey

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Nalini S Shah Department of Endocrinology, Seth G S Medical College, K.E.M. Hospital, Parel, Mumbai, India

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Arthur Tischler Department of Pathology and Laboratory Medicine, Tufts Medical Center and Tufts University School of Medicine, Boston, Massachusetts, USA

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Helena Leijon Department of Pathology, University of Helsinki, and HUSLAB, Helsinki University Hospital, Helsinki, Finland

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Gianmaria Pennelli Department of Medicine (DIMED), Surgical Pathology Unit, University of Padua, Padua, Italy

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Karina Villar Gómez de las Heras Central Services, Servicio de Salud de Castilla-La Mancha (SESCAM), Toledo, Spain

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Thera P Links Department of Endocrinology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

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Birke Bausch Department of Medicine II, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

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Charis Eng Genomic Medicine Institute, Lerner Research Institute and Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio, USA

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pheochromocytomas are rare. About 10% of intra-adrenal tumors metastasize in comparison to almost 40% of extra-adrenal sympathetic PGLs ( Lloyd et al . 2017 ). Tumor histology is a poor predictor of metastatic potential and no scoring system is unequivocally

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Dik J Kwekkeboom Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Boen L Kam Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Martijn van Essen Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Jaap J M Teunissen Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Casper H J van Eijck Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Roelf Valkema Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Marion de Jong Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Wouter W de Herder Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Eric P Krenning Departments of, Nuclear Medicine, Surgery, Internal Medicine

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response as determined by a scoring system that included weight, patient-assessed health score, Karnofsky score, and tumor-related symptoms, in 14/21 patients who were treated with a total cumulative dose of 360 mCi [ 90 Y-DOTA 0 ,Tyr 3 ]octreotide in three

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Johanna Sandgren Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital
Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Teresita Diaz de Ståhl Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Robin Andersson Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Uwe Menzel Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Arkadiusz Piotrowski Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Helena Nord Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Martin Bäckdahl Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Nimrod B Kiss Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Michael Brauckhoff Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Jan Komorowski Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Henning Dralle Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Ola Hessman Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Catharina Larsson Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Göran Åkerström Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Carl Bruder Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Jan P Dumanski Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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Gunnar Westin Department of Surgical Sciences, Rudbeck Laboratory, Department of Cell and Molecular Biology, Department of Biology and Pharmaceutical Botany, Department of Molecular Medicine and Surgery, Department of General, Southern Research Institute, Uppsala University Hospital

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histological signs (capsular or vascular invasion, extreme cytological atypia and presence of confluent necroses) can be used in different scoring systems together with other parameters to histopathologically discriminate tumours with a higher risk of

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Justine Vanhevel Clinical and Experimental Endocrinology, Department of Chronic Diseases and Metabolism (CHROMETA), KU Leuven, Leuven, Belgium

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Lieve Verlinden Clinical and Experimental Endocrinology, Department of Chronic Diseases and Metabolism (CHROMETA), KU Leuven, Leuven, Belgium

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Stefanie Doms Clinical and Experimental Endocrinology, Department of Chronic Diseases and Metabolism (CHROMETA), KU Leuven, Leuven, Belgium

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Hans Wildiers UZ Leuven, General Medical Oncology and Multidisciplinary Breast Center, Leuven, Belgium

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Annemieke Verstuyf Clinical and Experimental Endocrinology, Department of Chronic Diseases and Metabolism (CHROMETA), KU Leuven, Leuven, Belgium

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were used, high VDR expression was correlated with better BC OS ( Xu et al. 2020 ). IRS is a scoring system used for quantitative evaluation of immunohistochemical stainings and is based on the multiplication of the number of positive cells (0–4) and

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C J Fabian
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B F Kimler
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M S Mayo
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S A Khan
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assessment scoring system of 0–10 ( Chamberlain et al. 2003 ). It is the procedure most likely, in our experience (Zalles et al. 2003), to produce evaluable epithelial cells. Ductal lavage probably requires the most time to perform, the most training to

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Paul Carter Department of Antibody Technologies, Seattle Genetics, Inc., 21823 30th Drive SE, Bothell, Washington 98021, USA

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Leia Smith Department of Antibody Technologies, Seattle Genetics, Inc., 21823 30th Drive SE, Bothell, Washington 98021, USA

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Maureen Ryan Department of Antibody Technologies, Seattle Genetics, Inc., 21823 30th Drive SE, Bothell, Washington 98021, USA

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-based     Fluorescence in situ hybridization (FISH) 2 Detection of specific gene in cell nuclei using fluorescence-labeled cDNA as probe Determination of exact copy number of target gene; objective scoring system; reliable and accurate More expensive and time

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Krystallenia I Alexandraki Second Department of Surgery, Aretaieion Hospital, National and Kapodistrian University of Athens, Athens, Greece

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Ariadni Spyroglou Second Department of Surgery, Aretaieion Hospital, National and Kapodistrian University of Athens, Athens, Greece
Clinic for Endocrinology, Diabetology and Clinical Nutrition, University Hospital Zurich, Zurich, Switzerland

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Stylianos Kykalos Second Department of Propaedeutic Surgery, Laiko Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece

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Kosmas Daskalakis Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
Endocrine Unit, First Department of Propaedeutic Medicine, Laiko University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece

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Georgios Kyriakopoulos Department of Pathology, Evaggelismos Hospital, Athens, Greece

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Georgios C Sotiropoulos Clinic for Endocrinology, Diabetology and Clinical Nutrition, University Hospital Zurich, Zurich, Switzerland

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Gregory A Kaltsas Endocrine Unit, First Department of Propaedeutic Medicine, Laiko University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece

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Ashley B Grossman Oxford Centre for Diabetes, Endocrinology and Metabolism, Churchill Hospital, University of Oxford, Oxford, UK
NET Unit, Royal Free Hospital, London, UK
Barts and the London School of Medicine, London, UK

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. Metabolic grading according to SRI or 18 F-FDG PET of ambiguous lesions allows prognostic stratification in metastatic GI-NENs, and the newly introduced NETPET scoring system combining results of 18 F-FDG and SRI-PET can accurately describe the patient

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Carles Zafon Diabetes and Metabolism Research Unit (VHIR) and Department of Endocrinology, University Hospital Vall d’Hebron and Autonomous University of Barcelona, Barcelona, Spain
Consortium for the Study of Thyroid Cancer (CECaT), Catalonia, Spain

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Joan Gil Program of Predictive and Personalized Medicine of Cancer, Germans Trias i Pujol Research Institute (PMPPC-IGTP), Barcelona, Spain

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Beatriz Pérez-González Program of Predictive and Personalized Medicine of Cancer, Germans Trias i Pujol Research Institute (PMPPC-IGTP), Barcelona, Spain

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Mireia Jordà Consortium for the Study of Thyroid Cancer (CECaT), Catalonia, Spain
Program of Predictive and Personalized Medicine of Cancer, Germans Trias i Pujol Research Institute (PMPPC-IGTP), Barcelona, Spain

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. This can be resolved with the BRAF-like and RAS-like phenotypes defined by the Cancer Genome Atlas Research Network ( Cancer Genome Atlas Research Network 2014 ). The Cancer Genome Atlas Research Network developed a scoring system based on the

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Filomena Cetani University Hospital of Pisa, Unit of Endocrinology, Pisa, Italy

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Claudio Marcocci Unit of Endocrinology, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy

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Liborio Torregrossa University Hospital of Pisa, Division of Surgical Pathology, Pisa, Italy

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Elena Pardi Unit of Endocrinology, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy

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immunohistochemical stains, namely (i) the lack of a general consensus on the cut-off value of staining to classify the specimens as positive or negative; (ii) the use of various scoring systems; (iii) the use of different immunohistochemistry protocols, including

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S G Creemers Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands
Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands

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L J Hofland Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands
Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands

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E Korpershoek Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands
Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands

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G J H Franssen Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands
Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands

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F J van Kemenade Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands
Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands

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W W de Herder Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands
Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands

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R A Feelders Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands
Rotterdam Adrenal Center, Department of Internal Medicine, Department of Pathology, Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands

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). Pennanen et al . (2015) recently developed the Helsinki score, which consists of the sum of 3× mitotic rate+5× presence of necrosis+maximum proliferation index. This scoring system was able to diagnose metastatic ACC with 100% sensitivity and 99

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