Table 2 Top six equivocal histological parameters found in the cohort and correlations to parafibromin immunohistochemistry

From: Parafibromin immunostainings of parathyroid tumors in clinical routine: a near-decade experience from a tertiary center

 

Various histological parameters coupled to parafibromin staining outcomes

Equivocal histological parameter

Total number of tumors with this phenotype

of which X cases with aberrant parafibromin staining

of which X cases with positive parafibromin staining

of which X cases with uninformative parafibromin staining

of which X cases with a diagnosis of atypical adenoma

of which X cases with a diagnosis of carcinoma

of which X cases with a diagnosis of adenoma

Marked tumor weight

146

26

92

28

29

5

112

Fibrosis

77

18

43

16

31

0

46

Marked pleomorphism

58

10

36

12

16

0

42

Unclear relation to capsule

57

17

30

10

24

0

33

Trabecular growth pattern

49

15

23

11

24

6

19

Cystic growth pattern

49

7

33

9

10

0

39

 

Sensitivity (%)

Specificity (%)

Positive predictive value (%)

Negative predictive value (%)

Equivocal histological parameter

Predicting aberrant parafibromin staining

Predicting atypical adenoma or carcinoma

Predicting aberrant parafibromin staining

Predicting atypical adenoma or carcinoma

Predicting aberrant parafibromin staining

Predicting atypical adenoma or carcinoma

Predicting aberrant parafibromin staining

Predicting atypical adenoma or carcinoma

Marked tumor weight

51%

48%

51%

50%

22%

23%

79%

75%

Fibrosis

35%

44%

77%

80%

30%

40%

81%

82%

Marked pleomorphism

20%

23%

81%

81%

22%

28%

79%

77%

Unclear relation to capsule

33%

34%

84%

85%

36%

42%

82%

80%

Trabecular growth pattern

29%

42%

88%

92%

39%

61%

82%

83%

Cystic growth pattern

14%

14%

82%

83%

18%

20%

78%

75%