Oncocytic Variant of Medullary Carcinoma Don't assume every oncocytic thyroid tumor is a Hurthle cell neoplasm! Nested architecture, speckled chromatin, and focal amyloid as seen here should raise concern for oncocytic variant of medullary carcinoma. Synapto+, calcitonin+. - Dr. Lisa Rooper @LisaRooperMD #Oncocytic #Variant #Medullary #Carcinoma #Pathology #Microscopy #Clinical