A well differentiated follicular carcinoma of thyroid can be best differentiated from a follicular adenoma by

A. Huhle cell change

B. Lining of tall columnar and cuboidal cells

C. Vascular invasion

D. Nuclear features

Correct Answer: Vascular invasion

Description: A well differentiated follicular carcinoma of thyroid can be best differentiated from a follicular adenoma by capsular invasion/ vascular invasion. This is not made out in FNAC and hence FNAC is not very useful. USG can make out this differentiating feature of follicular carcinoma. Reference : page 482 SRB's manual of surgery 5th edition

Category: Surgery

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