journal article Open Access Jan 20, 2026

Unusual Cytology Features of A DICER1 ‐Mutated Thyroid Nodule: Raising Awareness of A Potential Diagnostic Pitfall During Fine Needle Aspiration

Cytopathology Vol. 37 No. 3 pp. 300-303 · Wiley
View at Publisher Save 10.1111/cyt.70053
Abstract
ABSTRACT

DICER1
‐mutated thyroid lesions can range from indolent to aggressive neoplasms. Infarction has been recently described as a histologic feature of
DICER1
‐mutated thyroid nodules. In this case report, we presented a
DICER1
‐mutated nodule which presented predominantly with debris in the fine needle aspiration (FNA) specimen and was confirmed on surgical resection to be a near total infarcted nodule. To the best of our knowledge, this is the first cytopathology report of a
DICER1
‐mutated thyroid lesion presenting as an infarcted nodule. Awareness of the features described herein may help prevent both overdiagnosis and underdiagnosis in the evaluation of thyroid nodules via FNA.
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