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...
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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...
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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...
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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...
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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...
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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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