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.

1. A kit is available with 3 solutions to stain the first air dried slide with DifQuik.
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3. Master’s class endocrinologists doing the first slide during a thyroid needle biopsy.
4. If the first slide is bloody with few cells, you must adjust the next next by a smaller needle and short duration in the nodule.If you used suction don’t on the second pass.
5. Before doing the biopsy the first slide is checked by two master’s class endocrinologists for cellularity and then a decision is made on the correct needle biopsy technique.
6. I helpful clue to a bloody nodule is strong Doppler blood flow. Start with #27 needle with no suction.
7. If there are follicular cells on the first pass, the technique is adequate to do the biopsy without fear of an inadequate report from the pathologist.
8. If the pass is a “dry tap” with no cells you have to do either increase the needle size stay longer in the nodule or use suction.
9. eROSE can decrease your inadequate rate from 20% to <1%.
10. Master’s classes will resume in the Fall of 2018. This will include the addition of hands on work with radio frequency ablation and ethanol ablation with bovine liver and super-concentrated gelatin models with various sizes of beef nodules.
11. Call 310-393-8860 or thyroid.manager@protonmail.com for details of the 3-5 day master’s class in clinical and interventional thyroidology with one on one sessions with Dr.Guttler.