Thyroid 101: Molecular Markers Should be Done on indeterminate Nodules Before Sending You for Unnecessary Thyroid Surgery Within the past few years, several molecular tests have become available to help determine whether some nodules are...
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Thyroid 101: What are the possible results of the nodule biopsy? Benign – This accounts for up to 70% of biopsies when using the Bethesda System (one of the most common ways that cytopathologists classify nodule biopsy specimens). The risk of...
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Thyroid Nodule Biopsies 101: Smaller Needle and No Suction is Better to Reduce Inadequate Results. Moss WJ et al Thyroid 28(7)2018 p.857 Dr. Guttler’s comments on this article. 4500 nodules reviewed. No suction technique was superior to...
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Medullary Thyroid Cancer MCT 101: Why is the Diagnosis Difficult for Community Based physicians and Pathologists? Four cases illustrate the problem. The answer is that it is rare, the evidence based system says it is too costly to screen all...
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Medullary Thyroid Cancer 101: Shari Kagermeier Drops Out of Mayoral Race. Dr.Guttler’s Comments: 1. She has metastatic medullary thyroid MCT cancer stage four. 2. MCT is a rare thyroid cancer (only 5% of all thyroid cancers.) 3. The...
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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)...
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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...
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Thyroid Nodule 101: Role of Cutting Needle Biopsy. CH Suh et al Endocrine Practice 22(6) June 2016: 679-88 Non-diagnostic Thyroid FNA usually followed by a repeat FNA. However recent evidence that core needle biopsy CNB had lower non-diagnostic...
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Thyroid Tumor and Nodule Radiofrequency Ablation RFA 101: What Can We do For You Now to Save an Unnecessary or Another Thyroid Surgery? Thyroid RFA is presently not available in the US or Canada. This is a tragic situation considering every major...
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Baloch ZW et al Endocrine Practice 23(9) September 2017 1153-58 Images from the article. Comments about this article by Dr.Guttler A The first cartoon on the left is a benign follicular adenoma. It is encapsulated and has no invasion. B...
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Comments: Hurthle Cells are Not Always a Sign of Thyroid Cancer. They are the cause of confusion among pathologists endocrinologists surgeons and patients. Always get outside opinions if Hurtle cells are seen in your biopsy as most are found in...
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Thyroid Goiter 101: The Good, Bad and Ugly of Iodine Ingestion. Iodine deficiency causes goiter and hypothyroidism in many countries. However, many countries including the USA are not. Excess iodine ingestion in the form of thyroid support...
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