Thyroid Nodule Biopsies 101: How Endocrinologists Rapid Adequacy Assessment eROSE Prevents Inadequate First Biopsies
Thyroid Nodule Biopsies 101: How Endocrinologists Rapid Adequacy Assessment eROSE Prevents Inadequate First Biopsies.
- A kit is available with 3 solutions to stain the first air dried slide with DifQuik.
- Master’s class endocrinologists doing the first slide during a thyroid needle biopsy.
- If the first slide is bloody with few cells, you must adjust the next next by a smaller needle and short duration in the nodule.If you used suction don’t on the second pass.
- Before doing the biopsy the first slide is checked by two master’s class endocrinologists for cellularity and then a decision is made on the correct needle biopsy technique.
- I helpful clue to a bloody nodule is strong Doppler blood flow. Start with #27 needle with no suction.
- If there are follicular cells on the first pass, the technique is adequate to do the biopsy without fear of an inadequate report from the pathologist.
- If the pass is a “dry tap” with no cells you have to do either increase the needle size stay longer in the nodule or use suction.
- eROSE can decrease your inadequate rate from 20% to <1%.
- Master’s classes will resume in the Fall of 2018. This will include the addition of hands on work with radio frequency ablation and ethanol ablation with bovine liver and super-concentrated gelatin models with various sizes of beef nodules.
- Call 310-393-8860 or [email protected] for details of the 3-5 day master’s class in clinical and interventional thyroidology with one on one sessions with Dr.Guttler.