Invasive Encapsulated Follicular Variant of Papillary Thyroid Carcinoma (IEFVPTC)

  • Invasive encapsulated follicular variant of papillary thyroid carcinoma (IEFVPTC):
    • Is now considered a separate entity and no longer a subtype of PTC
  • IEFVPTC has a RAS-like mutational and transcriptomic profile:
    • Similar to that of follicular adenoma (FA) and follicular thyroid carcinoma (FTC) (Figure):
      • Whereas classic PTC and the infiltrative follicular subtype of PTC:
        • Have BRAF V600E-like molecular profiles
  • IEFVPTCs:
    • Have a fibrous capsule or well-defined border and lack the histologic features of infiltrative follicular PTC
  • Like FTC:
    • IEFVPTC can invade vessels in the capsule and develop distant metastasis
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