Why You usually don’t need radioiodine after surgery in most thyroid cancers. Radioiodine was usually given to all thyroid cancer patients after surgery. 2017 we give it to fewer patients. Here are things to help you decide in consultation...More info
Thyroid Cancer in 2017: How to decide what you need to do about surgery now or deferred under Active Surveillance?
Thyroid Cancer in 2017: How to decide what you need to do about surgery now or deferred under Active Surveillance? Main issues: Size of the tumor, extra-nodal extension ( outside the lymph nodes), adverse histology, finding lymph nodes on on...More info
Needle biopsy of Parathyroid adenoma: The cells can look like follicular neoplasm or papillary thyroid cancer.
Needle biopsy of Parathyroid adenoma: The cells can look like follicular neoplasm or papillary thyroid cancer. Parathyroid adenoma diagnosed as papillary carcinoma of thyroid on needle aspiration smears. Friedman M, Shimaoka K, Lopez CA, Shedd...More info
The ABC’s of Diagnosing Metastatic Lymph Node Disease in Papillary Thyroid Cancer Suspicious lymph nodes on endocrine neck ultrasound. Cyst fluid,calcification, abnormal blood flow on Doppler and rounded shape. Serum thyroglobulin TG, and...More info
RFA of My Patient for his Large Symptomatic Benign Thyroid Nodule Referring physician: Dr. Richard Guttler, Santa Monica, CA Direct referral to an interventional thyroidologist in Europe for treatment. Large nodule of the left thyroid lobe...More info
What to do with <1 cm nodules that are candidates for Active Surveillence? To biopsy or not that is the question.
What to do with <1 cm nodules PMT papillary microcarcinomas that are candidates for Active Surveillence? To biopsy or not that is the question. Rosario et al Diag.Cytopathology Feb 20 2017 FNA was done on <1 cm nodules that had suspicious...More info
Eggshell calcification: Any Calcifications in the thyroid nodule should be carefully evaluated. A rare case example of the principle: Eggshell calcification of thyroid nodule not always benign A 73-year-old man had been diagnosed with colorectal...More info
Bravo: An Endocrinologist Refers a Patient for ( PEI ) Ethanol Thyroid Cyst Ablation Finally the general endocrinologists are getting the idea that PEI is a safe and simple procedure to treat recurrent thyroid and parathyroid cysts. The case...More info
Why Neck Lymph Nodes Need to be looked at BEFORE the first thyroid cancer surgery. There are 300 nodes in the neck and all are not big enough to be felt or seen on ultrasound or CT. However, thyroid cancer of papillary type will have spread to...More info
One Size Does Not Fit All When It Comes the Decision to Biopsy a Thyroid Nodule Just like the refusal to do ultrasound in a screening or routine basis is essential to decrease unnecessary biopsies and surgery, refusal to allow a biopsy for very...More info
Thyroid Cancer Surgery is not an Emergency. Take time to ensure that the first surgery is the last. The first operation is the most important operation. Pre-surgery ultrasound on the neck can find and diagnose local regional lymph node...More info
What can Go Wrong When an Thyroid Ultrasound finds a Nodule? The top two ultrasounds describe a 1 cm nodule between the markers. The ultrasounds from my center above shows no nodule but the presence of an area that is not a nodule but a...More info