What is the best treatment for hypothyroidism? Comments by DR.Guttler While the majority of clinical thyroidologists still consider LT4 as then treatment of choice for hypothyroidism, the patients who are unhappy with LT4 therapy were the...More info
Thyroid in Pregnancy 101:Serum TSH How, when and why? Serum TSH determinations in pregnancy: How, when and why? September 2010 Nature Reviews Endocrinology 6(9):526-9 Carole Spencer et al Comments by Dr.Guttler TSH is the first line thyroid...More info
What are the Benefits and Risks of Thyroid Nodule Evaluation in Patients ≥70 Years Old. Comments by Dr.G. 1.1200 > 70 year old patients with 2600 nodules. 2. 67 % of nodules were benign. 3. FNA lead to surgery in 210 patients and 93/210 were...More info
Be Aware of Afirma GEC Suspicious Result in Indeterminate Thyroid Nodules. Many More Are Not Cancer, But the look alike Benign Noninvasive Follicular Neoplasm with Papillary-like Nuclei called NIFN-P.
Be Aware of Afirma GEC Suspicious Result in Indeterminate Thyroid Nodules. Many More Are Not Cancer, But the look alike Benign Noninvasive Follicular Neoplasm with Papillary-like Nuclei called NIFN-P. Cancer Cytopathology 2017 published online...More info
Multifocal Papillary Thyroid Cancer Ultrasound Images Kim D.K. et al Endo Practice 24 (4) April 2018 p.351 Comments by Dr.Guttler Primary and daughter PTCs in the same gland have the same US images. Primary and secondary PTCs have different US...More info
Don’t Forget the Pyramidal Lobe Remnant During Total Thyroidectomy for Thyroid Cancer. J.A.Benmoussa et al Endo.Practice 24(4)april 208 Patient has a midline mass seen on CT extending from the hyoid bone to the thyroid bed. S/p Total...More info
Can Your Thyroid Help You Age Slowly? Longevity and Your Thyroid Gland. Thyroid is a suspect in causing aging. However little data on the effects of thyroid on aging. Low Metabolic increases longevity. 5.Low T4 in animal models is also associated...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 Cancer 101: “Liquid Biopsy” Can a simple blood test detect thyroid cancer? No, not at present according to this study.
Is Measurement of Circulating Tumor DNA of Diagnostic Use in Patients with Thyroid Nodules? Mark Lupo M.D1., Richard Guttler M.D2., Zsofia Geck M.D2, Anja Kammesheidt, PhD3, Theresa Tonozzi, M.P.H.3, and Glenn D. Braunstein M.D3 Richard Guttler...More info
Thyroid No Surgery 101: Mayo Clinic does Thyroid RFA for Benign Nodules with the Large #17 Long Electrode. Comments by Dr.Guttler The main problem with this study is the meager reductions seen compared to the results by the Koreans and Italians...More info
Anaplastic Thyroid Cancer ATC 101: Hurry to Mayo Clinic if You have Untreated biopsy proven ATC. With 3-6 months to live even with present therapies, you may be interested in a clinical trial of a new immunotherapy against the death-ligand...More info
Thyroglossal Duct Cyst No Surgery 101: Ethanol Ablation a Safe Alternative Surgery has been the standard treatment for TGD cysts forever. Surgery can cure but can result in failure if the hyoid bone is not transected.Also a scar and surgical...More info