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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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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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