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

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Main Authors: 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
Format: Artículo Open Access
Published: Wiley 2025
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author 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
author_facet 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
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
collection Wiley Open Access
contents 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 The Journal of Pathology AbstractThe 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. 10.1002/path.6456 http://creativecommons.org/licenses/by-nc-nd/4.0/
doi_str_mv 10.1002/path.6456
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institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
publishDate 2025
publisher Wiley
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spellingShingle 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
The Journal of Pathology
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 The Journal of Pathology AbstractThe 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. 10.1002/path.6456 http://creativecommons.org/licenses/by-nc-nd/4.0/
title Revisionist history uncovers a simplified molecular‐based classification of differentiated thyroid cancer
topic The Journal of Pathology
url https://pathsocjournals.onlinelibrary.wiley.com/doi/10.1002/path.6456