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Luca Morandi Department of Biomedical and Neuromotor Sciences, Section of Anatomic Pathology ‘M. Malpighi’ at Bellaria Hospital, University of Bologna, Bologna, Italy

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Alberto Righi Department of Pathology, Rizzoli Institute, (IRCCS), Bologna, Italy

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Francesca Maletta Department of Medical Sciences, University of Turin, Turin, Italy

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Paola Rucci Section of Hygiene and Biostatistics, University of Bologna, Bologna, Italy

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Fabio Pagni Department of Pathology, University of Milano Bicocca, Monza, Italy

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Marco Gallo Oncological Endocrinology Unit, Department of Medical Sciences, AOU Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy

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Sabrina Rossi Department of Pathology, Regional Hospital, Treviso, Italy

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Leonardo Caporali Istituto delle Scienze Neurologiche di Bologna (IRCCS), Bellaria Hospital, Bologna, Italy

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Anna Sapino Institute for Cancer Research and Treatment (IRCCS), Candiolo, Italy

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Ricardo V Lloyd University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA

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Sofia Asioli Department of Biomedical and Neuromotor Sciences, Section of Anatomic Pathology ‘M. Malpighi’ at Bellaria Hospital, University of Bologna, Bologna, Italy

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radioiodine refractory (RAI-R) and until now no other therapeutic options have been effective ( Haugen et al . 2016 ). Recently, a new variant of papillary thyroid carcinoma (PTC), named ‘hobnail variant’ (HPTC) was described ( Motosugi et al . 2009

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Henry Crayton Department of Endocrine Surgery, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, New South Wales, Australia
Northern Clinical School, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia

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Katherine Wu Department of Endocrinology, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, New South Wales, Australia

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David Leong Department of Endocrine Surgery, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, New South Wales, Australia

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Nazim Bhimani The Kinghorn Cancer Centre, Garvan Institute of Medical Research, St. Vincent’s Clinical School, Faculty of Medicine, University of New South Wales, Darlinghurst, New South Wales, Australia

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Matti Gild Northern Clinical School, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia
Department of Endocrinology, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, New South Wales, Australia

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Anthony Glover Department of Endocrine Surgery, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, New South Wales, Australia
Northern Clinical School, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia
The Kinghorn Cancer Centre, Garvan Institute of Medical Research, St. Vincent’s Clinical School, Faculty of Medicine, University of New South Wales, Darlinghurst, New South Wales, Australia

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Introduction Papillary thyroid carcinoma (PTC) is the most common type of endocrine cancer, comprising 80% of all thyroid cancers ( Hundahl et al. 2000 ). The diffuse sclerosing variant (DSV) of PTC is a rare variant, comprising 0.7–5.3% of

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Adam Stenman Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden
Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
Department of Breast, Endocrine Tumors and Sarcoma, Karolinska University Hospital, Stockholm, Sweden

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Samuel Backman Department of Surgical Sciences, Uppsala University, Uppsala, Sweden

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Klara Johansson Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden

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Johan O Paulsson Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden

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Peter Stålberg Department of Surgical Sciences, Uppsala University, Uppsala, Sweden

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Jan Zedenius Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
Department of Breast, Endocrine Tumors and Sarcoma, Karolinska University Hospital, Stockholm, Sweden

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C Christofer Juhlin Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden
Department of Pathology and Cytology, Karolinska University Hospital, Stockholm, Sweden

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-cell derived neoplasia denoted as pediatric papillary thyroid carcinoma (pPTC) or pediatric follicular thyroid carcinoma, while small subsets of cases are derived from the parafollicular C-cells; namely pediatric medullary thyroid carcinoma. As in adult

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Kensey Bergdorf Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA

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Donna C Ferguson Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA

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Mitra Mehrad Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA

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Kim Ely Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA

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Thomas Stricker Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA

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Vivian L Weiss Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA

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analysis. In this Institutional Review Board approved study, files from 2008 to 2017 containing diagnoses of classical papillary thyroid carcinoma (PTC, N  = 20), follicular variant of PTC (FVTPC, N  = 12) and non-invasive follicular thyroid neoplasm with

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Seo Ki Kim Division of Breast and Endocrine Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea

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Jung-Woo Woo Department of Surgery, Changwon Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Changwon, South Korea

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Jun Ho Lee Division of Breast and Endocrine Surgery, Department of Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, South Korea

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Inhye Park Division of Breast and Endocrine Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea

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Jun-Ho Choe Division of Breast and Endocrine Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea

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Jung-Han Kim Division of Breast and Endocrine Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea

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Jee Soo Kim Division of Breast and Endocrine Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea

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Introduction Papillary thyroid carcinoma (PTC) is the most prevalent thyroid cancer and its incidence has increased rapidly worldwide ( Ahn & Park 2009 , Siegel et al. 2014 ). This increase is likely to be due to earlier detection of small

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Seo Ki Kim Division of Breast and Endocrine Surgery, Division of Breast and Endocrine Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 135‐710, South Korea

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Jung-Woo Woo Division of Breast and Endocrine Surgery, Division of Breast and Endocrine Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 135‐710, South Korea

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Jun Ho Lee Division of Breast and Endocrine Surgery, Division of Breast and Endocrine Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 135‐710, South Korea

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Inhye Park Division of Breast and Endocrine Surgery, Division of Breast and Endocrine Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 135‐710, South Korea

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Jun-Ho Choe Division of Breast and Endocrine Surgery, Division of Breast and Endocrine Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 135‐710, South Korea

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Jung-Han Kim Division of Breast and Endocrine Surgery, Division of Breast and Endocrine Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 135‐710, South Korea

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Jee Soo Kim Division of Breast and Endocrine Surgery, Division of Breast and Endocrine Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 135‐710, South Korea

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Introduction With a rapidly increasing incidence worldwide, papillary thyroid carcinoma (PTC) represents the majority of thyroid cancer cases ( Ahn & Park 2009 , Siegel et al . 2014 ). The recently discovered BRAF V600E mutation (hereafter

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Seog Yun Park Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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Yuh-S Jung Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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Chang Hwan Ryu Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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Chang Yoon Lee Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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You Jin Lee Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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Eun Kyung Lee Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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Seok-Ki Kim Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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Tae Sung Kim Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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Tae Hyun Kim Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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Jeyun Jang Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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Daeyoon Park Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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Seung Myung Dong Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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Jae-Goo Kang Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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Jin Soo Lee Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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Junsun Ryu Center for Thyroid Cancer, Center for Lung Cancer, Research Institute, Department of Otolaryngology‐Head and Neck Surgery

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). Papillary thyroid carcinoma (PTC) comprises ∼90% of all thyroid malignancies and has an excellent prognosis with conventional therapies such as surgery and radioactive iodine therapy. Despite advances in the understanding of the underlying biological

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Lidong Wang Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China

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Hao Tan Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China

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Yonglian Huang Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China

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Mingyue Guo Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China

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Yanxu Dong Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China

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Chenxi Liu Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China

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Huai Zhao Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China

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Zhen Liu Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China

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Introduction Papillary thyroid carcinoma (PTC), as the most frequent histological subtype, accounts for more than 85% of thyroid cancers ( Canberk et al. 2020 ). The incidence of PTC has markedly increased over the past decades ( He et al

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Brian Hung-Hin Lang Department of Surgery, Department of Surgery, School of Public Health, Department of Pathology, Cancer Research Institute, The University of Hong Kong, Hong Kong SAR, China

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Young Jun Chai Department of Surgery, Department of Surgery, School of Public Health, Department of Pathology, Cancer Research Institute, The University of Hong Kong, Hong Kong SAR, China
Department of Surgery, Department of Surgery, School of Public Health, Department of Pathology, Cancer Research Institute, The University of Hong Kong, Hong Kong SAR, China

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Benjamin J Cowling Department of Surgery, Department of Surgery, School of Public Health, Department of Pathology, Cancer Research Institute, The University of Hong Kong, Hong Kong SAR, China

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Hye Sook Min Department of Surgery, Department of Surgery, School of Public Health, Department of Pathology, Cancer Research Institute, The University of Hong Kong, Hong Kong SAR, China

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Kyu Eun Lee Department of Surgery, Department of Surgery, School of Public Health, Department of Pathology, Cancer Research Institute, The University of Hong Kong, Hong Kong SAR, China
Department of Surgery, Department of Surgery, School of Public Health, Department of Pathology, Cancer Research Institute, The University of Hong Kong, Hong Kong SAR, China

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Yeo-Kyu Youn Department of Surgery, Department of Surgery, School of Public Health, Department of Pathology, Cancer Research Institute, The University of Hong Kong, Hong Kong SAR, China
Department of Surgery, Department of Surgery, School of Public Health, Department of Pathology, Cancer Research Institute, The University of Hong Kong, Hong Kong SAR, China

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Introduction Papillary thyroid carcinoma (PTC) is the most common type of differentiated thyroid carcinoma with an adjusted incidence doubled over the last 20 years ( Kilfoy et al . 2009 , HKCR 2013 , SEER 2013 ). Despite its relatively good

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Matthias S Dettmer Institute of Pathology, Division of Nuclear Medicine, Department of Neuropathology, Institute of Surgical Pathology, Institute of Surgical Pathology, University of Bern, Murtenstrasse 31, 3010 Bern, Switzerland

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Anja Schmitt Institute of Pathology, Division of Nuclear Medicine, Department of Neuropathology, Institute of Surgical Pathology, Institute of Surgical Pathology, University of Bern, Murtenstrasse 31, 3010 Bern, Switzerland

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Hans Steinert Institute of Pathology, Division of Nuclear Medicine, Department of Neuropathology, Institute of Surgical Pathology, Institute of Surgical Pathology, University of Bern, Murtenstrasse 31, 3010 Bern, Switzerland

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David Capper Institute of Pathology, Division of Nuclear Medicine, Department of Neuropathology, Institute of Surgical Pathology, Institute of Surgical Pathology, University of Bern, Murtenstrasse 31, 3010 Bern, Switzerland

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Holger Moch Institute of Pathology, Division of Nuclear Medicine, Department of Neuropathology, Institute of Surgical Pathology, Institute of Surgical Pathology, University of Bern, Murtenstrasse 31, 3010 Bern, Switzerland

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Paul Komminoth Institute of Pathology, Division of Nuclear Medicine, Department of Neuropathology, Institute of Surgical Pathology, Institute of Surgical Pathology, University of Bern, Murtenstrasse 31, 3010 Bern, Switzerland

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Aurel Perren Institute of Pathology, Division of Nuclear Medicine, Department of Neuropathology, Institute of Surgical Pathology, Institute of Surgical Pathology, University of Bern, Murtenstrasse 31, 3010 Bern, Switzerland

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all malignancies ( Schlumberger 1998 ). Papillary thyroid carcinomas (PTCs) are among the most curable cancers, and total thyroidectomy followed by adjuvant radioiodine administration cures almost all PTC patients. Patient prognosis depends on age, sex

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