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...More info
Medullary Thyroid Cancer 101: Why is the Diagnosis Difficult for Community Based Clinicians and Pathologists?
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...More info
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...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 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...More info
Thyroid Tumor and Nodule Radiofrequency Ablation RFA 101: What Can We do For You Now to Save an Unnecessary or Another Thyroid Surgery?
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...More info
Why You Need Expert Second Opinion Before You Have Have Surgery for a Follicular Variant of Papillary Carcinoma. It may not be a cancer after all.
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...More info
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...More info
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...More info
While waiting in the Korean Air first class lounge I began to think about how far I have come in my life. I am traveling to Seoul Korea to study under the world expert in a thyroid procedure that is not approved presently in the USA, but is used...More info
Thyroid Cancer 2017: Gone is One Size Fits All: Surgery, Radioiodine and High Dose Thyroid Hormone is for a few not all. Even though most thyroid nodules do not contain cancer, the overall number of nodules being detected every year has made...More info