Table 3 Immunohistochemical and molecular genetic findings in seven patients with PTC-DTF and PTC-NFS.

From: Papillary thyroid carcinoma with prominent myofibroblastic stromal component: clinicopathologic, immunohistochemical and next-generation sequencing study of seven cases

Case

Myofibroblastic stroma IHC

PTC IHC

Molecular

1

Beta Catenin + (Nuclear)

Keratin AE1/AE3−

MIB1 < 5%

PAX8−

P53−

SMA+

Beta Catenin + (Membranous)

Keratin AE1/AE3+

MIB1 < 5%

PAX8+

P53−

SMA−

CTNNB1 c.121A>G, (p.Thr41Ala)

2

Beta Catenin + (Nuclear)

Keratin AE1/AE3−

MIB1 < 5%

PAX8−

P53−

SMA+

Beta Catenin + (Membranous)

Keratin AE1/AE3+

MIB1 < 5%

PAX8+

P53−

SMA−

CTNNB1 c.133T>C, (p.Ser45Pro)

Epithelial component not available for testing, however previously tested [13] and positive for BRAF c.1799T>A (p.Val600Glu)

3

Beta Catenin + (Nuclear)

Keratin AE1/AE3−

MIB1 < 5%

PAX8−

P53−

SMA+

Beta Catenin + (Membranous)

Keratin AE1/AE3+

MIB1 < 5%

PAX8+

P53−

SMA−

CTNNB1 c.124A>G, (p.Thr41Ala)

4

Beta Catenin + (Nuclear)

Keratin AE1/AE3−

MIB1 < 5%

PAX8−

P53−

SMA+

Beta Catenin + (Membranous)

Keratin AE1/AE3+

MIB1 < 5%

PAX8+

P53−

SMA−

Failed repeat sequencing/QNS, However, epithelial and mesenchymal component previously tested and reported positive [13] for:

CTNNB1 c.133T>C (p.Ser45Pro)

BRAF c.1799T>A (p.Val600Glu)

5

Beta Catenin − (Nuclear)

Keratin AE1/AE3−

MIB1 ~5–10%

PAX8−

P53−

SMA+

Beta Catenin + (Membranous)

Keratin AE1/AE3+

MIB1 < 5%

PAX8+

P53−

SMA−

BRAF c.1799T>A, (p.Val600Glu)

USP6 rearrangement negative by NGS

6

Tissue exhausted

Tissue exhausted

CTNNB1 c.121A>G, (p.Thr41Ala)

NRAS c.175G>A, (p.Ala59Thr)

7

Beta Catenin + (Nuclear)

Keratin AE1/AE3−

MIB1 < 5%

PAX8−

P53−

SMA+

Beta Catenin + (Membranous)

Keratin AE1/AE3+

MIB1 < 5%

PAX8+

P53−

SMA−

CTNNB1 c.134C>T, (p.Ser45Phe)

BRAF c.1799T>A, (p.Val600Glu)

  1. NGS next-generation sequencing, IHC immunohistochemistry, QNS quantity not sufficient.