Too Many Thyroid Biopsies Result in Too Many Thyroid Surgeries: What To Do About? DR.Guttler’s comments: The prevalence of thyroid nodules in the general population is increasingly high. At least half of those biopsied prove to be benign...
More infoHashimoto Thyroiditis (CT) Effect 0n Thyroid Nodule Cytology and Risk of Thyroid Cancer
Hashimoto Thyroiditis Effect 0n Thyroid Nodule Cytology and Risk of Thyroid Cancer Dr.Guttler’s comments: A prospective of cohort analysis of 9851 consecutive patients with 21,397 nodules ≥1 cm who underwent nodule evaluation between 1995...
More infoThyroid Center of Santa Monica Named to 2020 Top Thyroid Blog, Website and Influencers.
Thyroid Center of Santa Monica Named to 2020 Top Thyroid Blog, Website and Influencers. One of the few only true thyroid physician driven websites and blog. thyroid.com. American thyroid association thyroid.org is one of the others. Thyroid...
More infoSpotlight on Dr.Guttler’s Career
Spotlight on Dr.Guttler’s Career. After fellowship I opened his thyroid center in Santa Monica. After survey of the local hospital records for thyroid surgery he noted they took out many thyroid nodules that were benign. Only 5% were...
More infoThyroid No Surgery: Suspicious Nodules with Negative Molecular Markers By Interpace Study Disease Free at 2 Years.
Guttler.Richard is one of the researchers on this important study. No Surgery for Suspicious Nodules with Negative Molecular Markers in Interpace Study of 140 Patients. Patients with negative cytology and markers are candidates for alternative...
More infoThyroid Cancer Thyroid Cancer 101:Mutations Obtained off Thyroid Biopsy slides not Just as as needle washout from the biopsy
Thyroid Cancer 101:Mutations Obtained off Thyroid Biopsy slides not Just as as needle washout from the biopsy. Dr.Guttler’s comments: Several labs are using microdissection technique on slides. I use Interpace and have good success in cases...
More infoThyroid Cystic Nodule 101: Where did it Go? There is no Scar
Case history: 52 Y/O female with enlarging nodule and symptoms of tightness and does not like the bulging of the nodule that seen by others.She was depressed about the looks of visible nodule. Her depression increased when told she needed...
More infoThyroid No Surgery: A patient’s Own Story
Thyroid No Surgery: A patient’s Own Story “Dr. Guttler just saved me from total thyroidectomy. I was told I had cancer and it needed to come out. He re scanned me and did a fine needle aspiration. Turns out I do not have cancer. I...
More infoReasons to Insist on an Endocrinologists to evaluate and if needed do the thyroid needle biopsy.
Reasons to Insist on an Endocrinologists to evaluate and if needed do the thyroid needle biopsy. DR. Brittany Henderson endocrinologist does over 100 biopsies a year. Dr.Guttler’s List: Your primary is not qualified to do a complete...
More infoThyroid Biopsy 101: Endocrinologists are better at adequacy than radiologists.
Thyroid Biopsy 101: Endocrinologists are better at adequacy than radiologists. 5% of biopsies done by radiologists are inadequate and patients need rebiopsy.The first biopsy should have been done by an endocrinologist to save patients for a...
More infoBenign Tumor Mimics Papillary Thyroid Cancer; Hyalinizing Trabecular Tumor (HTT ) of the Thyroid. Pre-op Diagnosis by Genomic Marker Saves Total Thyroidectomy.
Benign Tumor Mimics Papillary Thyroid Cancer; Hyalinizing Trabecular Tumor (HTT ) of the Thyroid. Pre-op Diagnosis by Genomic Marker Saves Total Thyroidectomy. Dr.Guttler’s Comments: When a nodule looks like papillary cancer on USG...
More infoDR.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery
Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery First always question your physician as to why they want a thyroid ultrasound TUS. There should be no screening thyroid ultrasounds. There must be indications for one. If you have a...
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