Review Article

The Diagnostic Performance of Afirma Gene Expression Classifier for the Indeterminate Thyroid Nodules: A Meta-Analysis

Table 5

Summary of final surgical pathology at resection of all surgical nodules (N=960).

Pathological Diagnoses after Surgery
BenignMalignant

DiagnosisNo.(%)DiagnosisNo.(%)

Final Surgical PathologyFollicular adenoma139(31.2%)cvPTC228(44.3%)
Benign follicular nodule71(16.0%)FvPTC197(38.3%)
Adenomatoid nodule58(13.0%)PTC, HC
Nodular hyperplasia56(12.6%)features/variant2(0.4%)
HCA49(11.0%)NIFPTC15(2.9%)
Oncocytic follicularFTC39(7.6%)
adenoma22(4.9%)HCC24(4.7%)
Chronic lymphocyticMTC6(1.2%)
thyroiditis9(2.0%)Malignant lymphoma2(0.4%)
MNG5(1.1%)Others2(0.4%)
Graves’ Disease2(0.4%)
Chronic inflammation1(0.2%)
Others33(7.4%)

Total445(100%)515(100%)

PTC, papillary thyroid carcinoma; FTC: follicular thyroid carcinoma; MTC: medullary thyroid cancer; AN, adenomatous/hyperplasic nodule; cvPTC, classic variant of papillary thyroid carcinoma; fvPTC, follicular variant of papillary thyroid carcinoma; NIFPTC, noninvasive follicular neoplasm with papillary-like nuclear features; PTC, HC feature: papillary thyroid carcinoma with Hürthle cell; HCA, Hürthle cell adenoma; HCC, Hürthle cell carcinoma.