Dr. Guttler’s Life in Pictures 2012 Example of a biopsy called class III but was inadequate due to bloody distortion artifacts. Field strip and clean my 12 gauge shogun. Cystic lymph node from papillary thyroid cancer. Treated with ethanol...
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New Review for Guttler Richard B MD 1328 16th St Santa Monica, CA 90404 Patsy R. 2/3/2019 I consulted Dr. Guttler in November 2018 for a thyroid nodule that was noticed during my annual physical exam. I had done research on the number of...
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Hürthle Cells HC in Thyroid Disease. It is not all about Hurthle Cell Neoplasm or Cancer. The cytology above is of Hurthle cell metaplasia in a Hashimoto’s thyroiditis. This is not Hurthle cell neoplasm or cancer. HC are seen in all thyroid...
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Thyroid No Surgery 101: Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery for a diagnosis of thyroid cancer by biopsy. Two Concepts: Active Surveillance and NIFT-P Never have thyroid surgery when told you have thyroid...
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Thyroid Biopsy 101: Thyroid FNA cytology yields an indeterminate result for about 20% of nodules, preventing a definitive diagnosis and hampering patient management. Dr.Guttler’s Comments on this article: Do Not Go to Surgery with...
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Thyroid No Surgery 101: Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery. Rules: Never go to surgery with just the first local pathology opinion. Why? The first opinion may be wrong for many reasons. It can set up a cascade of events...
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Thyroid No Surgery 101: Dr. Guttler’s Rules to Avoid Unnecessary Thyroid Surgery. When your primary tells you to skip seeing an endocrinologist or thyroidologist and go direct to have a biopsy and then to the surgeon say no and seek a...
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Thyroid Cancer That is Now a Benign Tumor 101: How do You Find Out The Needle Biopsy Result of Papillary Thyroid Cancer Could Be A Benign Tumor Instead ? Thyroid Cancer 101: Looks like Papillary thyroid Cancer but it is Not Cancer. The Scarlet...
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Thyroid Cancer 101: Looks like Papillary thyroid Cancer but it is Not Cancer. The Scarlet Letter Big C Tattoo to the Blue Letter b tattoo. Dr.Guttler’s comments: 31 rules to live by to avoid lifetime thyroid cancer diagnosis. 1.Thyroid...
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Thyroid Cancer Diagnosis 101: Bad Ultrasound Reports= Too Many Thyroid Biopsies. DR.Guttler’s comments on this article. 1. Bad thyroid ultrasound (US) radiology reports cause “confusion and discrepancy” among specialists about...
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Thyroid Nodules 101: Dr.Guttler’s 84 Rules on thyroid nodules The term thyroid nodule refers to an abnormal growth of thyroid cells that forms a lump within the thyroid gland. Although the vast majority of thyroid nodules are benign...
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Thyroid No Surgery for Benign Nodules 101: Mutation studies prevent 70% from going to surgery with an indeterminate biopsy diagnosis when the FNA needle washout mutation markers and classifiers are benign. A consultation with an expert in...
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