Thyroid Nodule Biopsy/ Cytology 101: What clinical management decisions are associated with the 6 Bethesda Reporting groups? DR. Guttler’s comments on the Bethesda reporting system. My comments follow the description of each...More info
Medullary Thyroid Cancer MCT 101: Why is the Diagnosis Difficult by Community Based Pathologists? The answer is that it is rare, the evidence based system says it is too costly to screen all thyroid nodules for calcitonin ( MCT cancer markers)...More info
Thyroid Nodule Biopsies 101: How Endocrinologists Rapid Adequacy Assessment eROSE Prevents Inadequate First Biopsies
Thyroid Nodule Biopsies 101: How Endocrinologists Rapid Adequacy Assessment eROSE Prevents Inadequate First Biopsies. A kit is available with 3 solutions to stain the first air dried slide with DifQuik. Master’s class endocrinologists doing...More info
Thyroid Cancer 101: In a Time of Too many biopsies on small thyroid nodules comes a patient with a very big nodule that was watched because the physicians thought the ultrasound image did not warrant a biosy for years while it continued to grow.
Thyroid Cancer 101: ALWAYS GET OUTSIDE OPINION BEFORE HAVING THYROID SURGERY FOR NODULES OR CANCER. The wrong diagnosis or treatment can result in your death. In a Time of Too many biopsies on small thyroid nodules comes a patient with a very big...More info
Thyroid Cancer 101: Say No to Cancer Cures Schemes. Modern Day Snake Oil Salesmen. Comments by Dr.Guttler When a masseuse tells you they can cure cancer, you have to be desperate to believe them. This women was grasping for straws. Why would a...More info
Thyroid Nodules in Children 101: Can Ultrasound be Used to Diagnose a Benign Thyroid Nodule Alone without a Biopsy? Probably Not.
Thyroid Nodules in Children 101: Can Ultrasound US be Used to Diagnose a Benign Thyroid Nodule Alone without a Biopsy? Probably Not. Gannon A.W. et al JCEM May 2018 103(5) : 1958-1965 Diagnostic Accuracy of Ultrasound in Children with thyroid...More info
Subclinical Hypothyroidism SCH 101: Does it Cause Depression? Probably Not! KIm J. et al JCEM May 2018 103(5) 1827-1833 Samuels M. JCEM May 2018 103(5) 2061-64 Dr. Guttler’s comments on these two articles. Kim’s first SCH and...More info
Thyroid Cancer 101: Age and Thyroid Cancer RAI/131 therapy best when young BRAFF and other markers are change as you age. Dr.Guttler’s Comments on the article. Eliminating the Age Cutoff in Staging of Thyroid Cancer Ylli...More info
Thyroid No Surgery Ethanol Ablation PEI 101: Choking Patient with Massive Goiter and a 5 mm slit for an Airway is Not a Candidate for Surgery due to her Underlying Illness.
Thyroid Cysts 101 Thyroid No Surgery 101: Choking Patient with Massive Goiter and a 5 mm slit for an Airway is Not a Candidate for Surgery due to her Underlying Illness. Patient with bilateral goiter narrowing her airway. Drainage of a large cyst...More info
Patient Education Site Being Blackmailed for Use of Pictures on the Thyroid Educational Website. Please send letters in support of your thyroid educational blog and website to the suits hired guns of PicRight LTD. Wow, the number one...More info
Thyroid No Surgery 101: Thyroid Nodule Radiofrequency Ablation RFA Study from Austria. Dobnig H. et al Thyroid 28(4) 2018 p.472 DR.Guttler comments on this article More evidence that thyroid RFA is a safe way to treat thyroid nodules without...More info
Therapy 101: Don’t Drink Milk with Your Thyroid Hormone. Thyroid 28(4)2018 p.454 Chon DA et al Peak T4 levels were lower when T4 was taken with 12 oz of 2 % cow’s milk. Calcium in milk is the problem.More info