The aim of our study was to search for new, readily available and statistically reliable cytological markers for differentiating benign and malignant follicular thyroid neoplasms pre-operatively. Although we demonstrated on the cohort of 58 cases (48 follicular adenomas, 10 follicular carcinomas) a statistically significant difference in cell cohesion, these could not be distinguished in the clinical setting because the specificity was too low.
The absence of correlation of cellular cohesiveness with E-cadherin expression indicates that other factors are probably responsible for the loss of cohesiveness observed in follicular thyroid malignancy.