Processing the entire capsule in thyroid follicular lesions improves diagnostic accuracy.

•We studied the impact of submitting entire capsule on final pathologic diagnosis in cases on which only representative sections were submitted initially and entire capsule was submitted subsequently.•The argument in favor of representative sections is that even if the entire capsule is submitted; the glass slides are still representative, constituting 4 to 5 μm of an average tissue thickness of 3 mm.•Submission of entire capsule contributed to final diagnosis in 3 (3.8%) cases whereby foci of microinvasion were identified changing the diagnosis to MI-FCT.•The processing cost of additional sections of capsule was $ 4143 in these cases.•Processing of entire capsule in thyroid follicular lesions has a definitive yield but did it change patient management is a subject of controversy.