Thyroid Nodule No Surgery 101: Do Not Have Surgery with Class III or IV cytology without Molecular Marker Testing. Dr.Guttler’s comments: 1. Indeterminate thyroid biopsies should not be a reason for a diagnostic lobectomy. 2. This study in...
More infoThyroid Cancer Thyroid Cancer 101:Mutations Obtained off Thyroid Biopsy slides not Just as as needle washout from the biopsy
Thyroid Cancer 101:Mutations Obtained off Thyroid Biopsy slides not Just as as needle washout from the biopsy. Dr.Guttler’s comments: Several labs are using microdissection technique on slides. I use Interpace and have good success in cases...
More infoReasons to Insist on an Endocrinologists to evaluate and if needed do the thyroid needle biopsy.
Reasons to Insist on an Endocrinologists to evaluate and if needed do the thyroid needle biopsy. DR. Brittany Henderson endocrinologist does over 100 biopsies a year. Dr.Guttler’s List: Your primary is not qualified to do a complete...
More infoThyroid Biopsy 101: Endocrinologists are better at adequacy than radiologists.
Thyroid Biopsy 101: Endocrinologists are better at adequacy than radiologists. 5% of biopsies done by radiologists are inadequate and patients need rebiopsy.The first biopsy should have been done by an endocrinologist to save patients for a...
More infoBenign Tumor Mimics Papillary Thyroid Cancer; Hyalinizing Trabecular Tumor (HTT ) of the Thyroid. Pre-op Diagnosis by Genomic Marker Saves Total Thyroidectomy.
Benign Tumor Mimics Papillary Thyroid Cancer; Hyalinizing Trabecular Tumor (HTT ) of the Thyroid. Pre-op Diagnosis by Genomic Marker Saves Total Thyroidectomy. Dr.Guttler’s Comments: When a nodule looks like papillary cancer on USG...
More infoDr. Guttler’s Life in Pictures 2012
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...
More infoThyroid Cancer 101: New Review for Guttler Richard B MD
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...
More infoHürthle Cells in Thyroid Disease: It is not all about Hurthle Cell Neoplasm or Cancer
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...
More infoThyroid No Surgery 101: Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery for a diagnosis of thyroid cancer by biopsy. Update:
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...
More infoThyroid Biopsy 101: Thyroid FNA cytology yields an indeterminate result for about 20% of nodules, preventing a definitive diagnosis and hampering patient management.
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...
More infoThyroid No Surgery 101: Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery
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...
More infoThyroid No Surgery 101: Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery
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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