What is a hallmark characteristic of the papillary thyroid carcinoma?

Prepare for USMLE Step 1 Pathology Exam with comprehensive quizzes, flashcards, and detailed explanations. Enhance your understanding and be exam-ready!

Papillary thyroid carcinoma is characterized by several distinctive features, and the presence of psammoma bodies is one of its hallmark characteristics. Psammoma bodies are small, round structures that are composed of concentric layers of calcified material. They are associated with certain types of tumors, including papillary thyroid carcinoma, and their presence can provide important microscopic evidence during histological examination.

This characteristic is significant as it helps to differentiate papillary thyroid carcinoma from other thyroid neoplasms, which may not exhibit psammoma bodies. In addition to psammoma bodies, papillary thyroid carcinoma often displays features such as nuclear grooves and enlargements, which further emphasize its distinctive morphology.

Although high radioiodine uptake, high mitotic activity, and a positive thyroglobulin test are associated with thyroid pathology, they are not unique to papillary thyroid carcinoma or may be indicative of other conditions. Thus, the presence of psammoma bodies stands out as a defining trait in the diagnosis of papillary thyroid carcinoma, making it an essential feature to recognize in pathology.

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