The characteristic properties of oxyphilic tumors are as follows:
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Great proportion of follicular cells exhibit oxyphilic metaplasia.
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The cells are arranged in small non-specific clusters and in micro- and normofollicles. The ratio of follicles to other type of cell groups is significantly less than in usual follicular tumors. There is a tendency of cells to dissociate from groups, and therefore the ratio of dispersed cells to cells within groups is significantly higher than in hyperplastic nodules exhibiting oxyphilic changes.
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Relatively great proportion of cells contains prominent nucleoli.
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The presence of grooves or inclusions has a significantly less specificity in the diagnosis of malignant form of oxyphilic tumors compared with tumors composed of non-metaplastic cells.
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