Skip to main content

Advertisement

Log in

Nodal metastasis in noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP)

  • Brief Report
  • Published:
Endocrine Aims and scope Submit manuscript

Abstract

The term noninvasive tumor with a follicular growth pattern and nuclear features of papillary thyroid cancer (NIFTP) is used to describe a tumor currently considered as a pre-malignant lesion for which a conservative therapeutic approach (i.e., lobectomy without radioiodine therapy) is strongly suggested. However, some patients with NIFTP and loco-regional or distant metastases have been already reported. We present an adult male patient with a final histological diagnosis of NIFTP and lymph node metastasis noted at post-therapy whole-body scintigraphy performed some days after radioiodine therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Data availability

The study was conducted in accordance with applicable regulations. For more information on the study and data sharing, qualified researchers may contact the corresponding author, Prof. Alfredo Campennì (acampenni@unime.it).

References

  1. E.D. Rossi, W.C. Faquin, Z. Baloch, G. Fadda, L. Thompson, L.M. Larocca, L. Pantanowitz, Noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP): Update and diagnostic considerations-a review. Endocr. Pathol. (2019). https://doi.org/10.1007/s12022-019-9574-7

  2. Y.E. Nikiforov, R.R. Seethala, G. Tallini, Z.W. Baloch, F. Basolo, L.D. Thompson, J.A. Barletta, B.M. Wenig, A. Al Ghuzlan, K. Kakudo, T.J. Giordano, V.A. Alves, E. Khanafshar, S.L. Asa, A.K. El-Naggar, W.E. Gooding, S.P. Hodak, R.V. Lloyd, G. Maytal, O. Mete, … R.A, Ghossein, Nomenclature revision for encapsulated follicular variant of papillary thyroid carcinoma: a paradigm shift to reduce overtreatment of indolent tumors. JAMA Oncol. (2016). https://doi.org/10.1001/jamaoncol.2016.0386

  3. P.W. Rosario, G.F. Mourão, Noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP): a review for clinicians. Endocr. Relat. Cancer (2019). https://doi.org/10.1530/ERC-19-0048

  4. Y. Fakhar, A. Khooei, A. Aghaee, H. Mohammadzadeh Kosari, L. Wartofsky, S.R. Zakavi, Bone metastasis from noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP); a case report. BMC Endocr. Disord. (2021). https://doi.org/10.1186/s12902-021-00883-7

  5. A. Campennì, D. Barbaro, M. Guzzo, F. Capoccetti, L. Giovanella, Personalized management of differentiated thyroid cancer in real life - practical guidance from a multidisciplinary panel of experts. Endocrine (2020). https://doi.org/10.1007/s12020-020-02418-x

  6. A. Campennì, L. Giovanella, S.A. Pignata, A. Vento, A. Alibrandi, L. Sturiale, R. Laudicella, A.D. Comis, R. Filice, G. Giuffrida, M.E. Stipo, S. Giovinazzo, F. Trimarchi, R.M. Ruggeri, S. Baldari, Undetectable or low (<1 ng/ml) postsurgical thyroglobulin values do not rule out metastases in early stage differentiated thyroid cancer patients. Oncotarget (2018). https://doi.org/10.18632/oncotarget.24766

  7. A. Campennì, R.M. Ruggeri, M. Siracusa, G. Giacoppo, F. La Torre, A. Saccomanno, A. Alibrandi, G. Dionigi, G. Tuccari, S. Baldari, L. Giovanella, Isthmus topography is a risk factor for persistent disease in patients with differentiated thyroid cancer. Eur. J. Endocrinol. (2021). https://doi.org/10.1530/EJE-21-0328

  8. A. Campennì, L. Giovanella, M. Siracusa, M.E. Stipo, M. E., A. Alibrandi, M. Cucinotta, R.M. Ruggeri, S. Baldari, Is malignant nodule topography an additional risk factor for metastatic disease in low-risk differentiated thyroid cancer? Thyroid Off. J. Am. Thyroid Assoc. (2014). https://doi.org/10.1089/thy.2014.0217

  9. B.R. Haugen, E.K. Alexander, K.C. Bible, G.M. Doherty, S.J. Mandel, Y.E. Nikiforov, F. Pacini, G.W. Randolph, A.M. Sawka, M. Schlumberger, K.G. Schuff, S.I. Sherman, J.A. Sosa, D.L. Steward, R.M. Tuttle, L. Wartofsky, 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid Off. J. Am. Thyroid Assoc. (2016). https://doi.org/10.1089/thy.2015.0020

  10. P.W. Rosario, G.C. Penna, M.R. Calsolari, Noninvasive encapsulated follicular variant of papillary thyroid carcinoma: is lobectomy sufficient for tumours ≥1 cm? Clin. Endocrinol. (2014). https://doi.org/10.1111/cen.12387

  11. N. Agrawal, C.E. Abbott, C. Liu, S. Kang, L. Tipton, K. Patel, M. Persky, L. King, F.M. Deng, M. Bannan, J.B. Ogilvie, K. Heller, S.P. Hodak, Noninvasive follicular tumor with papillary-like nuclear features: not a tempest in a teapot. Endocr. Pract. (2017). https://doi.org/10.4158/EP161632.OR

  12. R.L. Ferris, Y. Nikiforov, D. Terris, R.R. Seethala, J.A. Ridge, P. Angelos, Q.Y. Duh, R. Wong, M.M. Sabra, J.A. Fagin, B. McIver, V.J. Bernet, R.M. Harrell, N. Busaidy, E.S. Cibas, W.C. Faquin, P. Sadow, Z. Baloch, M. Shindo, L. Orloff, … G.W. Randolph, AHNS Series: do you know your guidelines? AHNS Endocrine Section Consensus Statement: State-of-the-art thyroid surgical recommendations in the era of noninvasive follicular thyroid neoplasm with papillary-like nuclear features. Head Neck (2018). https://doi.org/10.1002/hed.25141

  13. R.R. Seethala, Z.W. Baloch, J.A. Barletta, E. Khanafshar, O. Mete, P.M. Sadow, V.A. LiVolsi, Y.E. Nikiforov, G. Tallini, L.D. Thompson, Noninvasive follicular thyroid neoplasm with papillary-like nuclear features: a review for pathologists. Mod. Pathol. (2018). https://doi.org/10.1038/modpathol.2017.130

  14. E.D. Rossi, W.C. Faquin, NIFTP revised: chronicle of a change foretold. Cancer Cytopathol. (2018). https://doi.org/10.1002/cncy.22070

  15. G. Tallini, R.M. Tuttle, R.A. Ghossein, The history of the follicular variant of papillary thyroid carcinoma. J. Clin. Endocrinol Metab. (2017). https://doi.org/10.1210/jc.2016-2976

  16. L. Giovanella, L. Ceriani, M.L. Garo, Is thyroglobulin a reliable biomarker of differentiated thyroid cancer in patients treated by lobectomy? A systematic review and meta-analysis. Clin. Chem. Lab. Med. (2022). https://doi.org/10.1515/cclm-2022-0154

  17. B. Xu, G. Tallini, T. Scognamiglio, B.R. Roman, R.M. Tuttle, R.A. Ghossein, Outcome of large noninvasive follicular thyroid neoplasm with papillary-like nuclear features. Thyroid (2017). https://doi.org/10.1089/thy.2016.0649

  18. J. Li, B. Zhang, Y. Bai, Y. Liu, B. Zhang, J. Jin, Health-related quality of life analysis in differentiated thyroid carcinoma patients after thyroidectomy. Sci. Rep. (2020). https://doi.org/10.1038/s41598-020-62731-3

  19. U. Cho, O. Mete, M.H. Kim, J.S. Bae, C.K. Jung, Molecular correlates and rate of lymph node metastasis of non-invasive follicular thyroid neoplasm with papillary-like nuclear features and invasive follicular variant papillary thyroid carcinoma: the impact of rigid criteria to distinguish non-invasive follicular thyroid neoplasm with papillary-like nuclear features. Mod. Pathol. (2017). https://doi.org/10.1038/modpathol.2017.9

  20. D. N. Parente, W.P. Kluijfhout, P.J. Bongers, R. Verzijl, K.M. Devon, L.E. Rotstein, D.P. Goldstein, S.L. Asa, O. Mete, J.D. Pasternak, Clinical safety of renaming encapsulated follicular variant of papillary thyroid carcinoma: is NIFTP truly benign? World J Surg. (2018). https://doi.org/10.1007/s00268-017-4182-5

Download references

Author information

Authors and Affiliations

Authors

Contributions

Alfredo Campennì and Luca Giovanella contributed to the study conception and design. Material preparation and analysis were performed by Liborio Torregrossa. Data collection was performed by Massimiliano Siracusa. The first draft of the manuscript was written by Alfredo Campennì and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.”

Corresponding author

Correspondence to Alfredo Campennì.

Ethics declarations

Conflict of interest

The authors declare no competing interests.

Consent to participate

The patient described in the present study was fully informed on the use of his data and provided a written informed consensus.

Consent to publish

The authors affirm that the participant provided informed consent for publication of the images in Fig. 1.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Campennì, A., Torregrossa, L., Ruggeri, R.M. et al. Nodal metastasis in noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP). Endocrine (2024). https://doi.org/10.1007/s12020-024-03719-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s12020-024-03719-1

Keywords

Navigation