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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DR.Guttler’s comments. 43 Y/O F one month right arm and shoulder pain with weakness and tingling in the arm.She had no neck symptoms and no enlarged thyroid gland in the neck area. X Ray of the shoulder showed a mass in the chest by arrow...
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Dr.Guttler’s Life 101: Pictures from 2011 Presenting Ethanol paper atNational meeting 1000 meter rifle range in Michigan Lake Northern Pike Master Class endocrinologist doing a radioiodine uptake test. Endocrine neck ultrasound class...
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Thyroid Nodules 101: What happens if you have a thyroid nodule? Dr.Guttler’s comments: You might be looking in the mirror while shaving or fastening a necklace when you first see it. The doctor might feel it during a routine physical exam...
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Thyroid cancer 101: Because thyroid cancer is not usually fatal, the findings suggest that physicians sometimes offer unnecessary testing to avoid being sued. Dr.Guttler’s Comments. Most of the extra cases of thyroid cancer recently are...
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