Big Thyroid Goiter 101: Dr.Guttler’s 37 rules about nodular goiters. The term “goiter” simply refers to the abnormal enlargement of the thyroid gland. Most goiters have normal thyroid blood tests and are not malfunctioning. Some...More info
Thyroid No Surgery 101: Part 2: Thyroid Ultrasound and Fine Needle Biopsy.The Two Most Dangerous Procedures Without Expert consultation.
Dr.Guttler’s comments about American Thyroid Association patient information on Thyroid fine needle biopsy of thyroid nodules. This is found on their website, www thyroid.org. I list what was not on this watered down version on what...More info
Thyroid Nodules No Surgery 101: Why a Simple Needle Washout for Molecular Markers for Thyroid Cancer Can Save You a Surgery.
Thyroid Nodules No Surgery 101: Why a Simple FNA Needle Washout for Molecular Markers for Thyroid Cancer Can Save You a Surgery. Dr.Guttler’s Comments on his abstract to be presented at the American Thyroid Association...More info
Patient has a large mass in the lateral neck with normal thyroid examination and ultrasound. Bulging mass in the lateral right neck. FNA was negative for cells, but the needle washout for thyroglobulin was very positive at 11,049. N <1. The...More info
Thyroid Cancer 101: Persistence of Thyroglobulin Antibody (TG AB ) for Years Not A Sign of Recurrence.
Thyroid Cancer 101: Persistence of Thyroglobulin Antibody (TG AB ) for Years Not A Sign of Recurrence. Martone A et al Thyroid 28(7) 2018 p.871 Dr.Guttler’s comments on this article. It takes years for the TGAB to decline in patients with...More info
Thyroid No Surgery Star Physician Dies: First Paper on Thyroid Needle Biopsies. Renowned Toronto doctor, known for innovative thyroid research, dies Paul Walfish, a world-renowned Toronto doctor and pioneer of new thyroid disease treatments, has...More info
Large Benign Thyroid Nodules 101: Surgery is Not the First Choice for Treatment Anymore ! Benign Thyroid Cysts and Solid Nodules can be ablated with thyroid ethanol PEI or radiofrequency ablation RFA as an outpatient in a few minutes without a...More info
How Do You Determine the Potential for Cure for Medullary Thyroid Cancer MCT? A Novel New Test. Calcitonin Secretory Index CSI. Endocrine Practice 24(5) May 2108 p.460-467 Filimon S. et al Dr.Guttler comments on this article. What is CSI?It takes...More info
My recent paper with Mark Lupo, Glenn Braunstein et al showed that cfDNA was unable to be of use in the diagnosis or thyroid cancer in thyroid nodules. FNA and molecular markers direct6 from the nodules were not improved by circulation cfDNA...More info
Thyroid Nodule Biopsy/ Cytology 101: What you need to know as a patient about your thyroid biopsy report.
Thyroid Nodule Biopsy/ Cytology 101: What you need to know and when to get outside opinions on the results. DR. Guttler’s comments on the Bethesda reporting system. My comments follow the description of each category. The most...More info
Thyroid Nodule Biopsy/ Cytology 101: What clinical management decisions are associated with the 6 Bethesda Reporting groups?
Thyroid Nodule Biopsy/ Cytology 101: What clinical management decisions are associated with the 6 Bethesda Reporting groups? DR. Guttler’s comments on the Bethesda reporting system. My comments follow the description of each...More info
Primary Care Physician’s 2018 Thyroid Patient Care Resolutions. Resolve to consider thyroid disease as a complicated area that requires consultation with expert endocrinologists. Don’t try to treat the patient without a consultation...More info