Welcome to the Thyroid Center of Santa Monica

Innovative
Diagnostic Options

Diagnostic Endocrine Neck Ultrasound
Ultrasound Guided Extra-Fine #27 Needle Aspiration Biopsy ( No Suction No Local Needed )

eROSE ( Endocrine Adequate Assessment )
Thyroid Cancer Molecular Markers by Needle Washout during the FNA or Later on Cytology Slides or Markers Done on Inadequate Smears

Advanced
Treatments

~ Ultrasound-Guided PEI thyroid cysts,
Parathyroid cysts, and thyroid cancer lymph nodes

~ RFA radiofrequency ablation for solid nodules

~ HIFU echotherapy for solid nodules

Active
Surveillance

The initial thing is to make sure you don’t have a < 1cm papillary thyroid cancer, with low risk features on endocrine neck ultrasound. These include safe location away from the recurrent nerve, and trachea and no lateral neck lymph node involvement. These are “harmless” and low,low risk and can safely be followed. This is called Active Surveillance.

Meet Dr. Guttler

The Thyroid Center of Santa Monica is a multiservice center established for the diagnosis and treatment of thyroid disorders in Santa Monica, California. Since 1974, Dr. Richard Guttler, clinical thyroidologist and board-certified endocrinologist, has been the director for the Thyroid Center of Santa Monica. Dr. Guttler is also the sole owner of the Endocrine Neck Ultrasound Lab of Southern California, an extension of the thyroid center.

Full Bio

Non-Surgical Thyroid Cancer Treatment

Your one-stop-shop for the diagnosis
and treatment of thyroid conditions

Our practice is highly specialized and is one of only a few centers across the United States focused entirely on thyroid problems.

We commonly serve patients who have been diagnosed with hypothyroidism, hyperthyroidism, Hashimoto’s thyroiditis, and other conditions involving the thyroid. For patients diagnosed with thyroid cancer and thyroid nodules, we offer innovative, advanced techniques that are smart, cost-effective alternatives to surgery. Interventional thyroid procedures include ultrasound-guided percutaneous ethanol injections (PEIs) for cysts and thyroid cancer lymph nodes,radiofrequency ablation for solid nodules, and HIFU for solid thyroid nodules

Because of our specialty services, patients come from all over the world to see Dr. Guttler. In addition, endocrinologists travel to Dr. Guttler’s office for his workshops and Masters classes offering advanced training and knowledge in thyroidology.

Thyroid Center of Santa Monica welcomes your call and looks forward to serving patients and their physicians. To request a consultation, please call our office at (310) 393-8860

Thyroid No Surgery 101

What are the Benefits and Risks of Thyroid Nodule Evaluation in Patients ≥70 Years Old

What are the Benefits and Risks of Thyroid Nodule Evaluation in Patients ≥70 Years Old

What are the Benefits and Risks of Thyroid Nodule Evaluation in Patients ≥70 Years Old. Comments...

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Published in American Thyroid Association new video journal VideoEndocrinology: My Simple Office Ethanol Ablation Procedure for thyroid/parathyroid cysts and recurrent thyroid cancer lymph nodes.

Published in American Thyroid Association new video journal VideoEndocrinology: My Simple Office Ethanol Ablation Procedure for thyroid/parathyroid cysts and recurrent thyroid cancer lymph nodes.

Published in American Thyroid Association new video journal VideoEndocrinology: My Simple Office...

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Thyroid No Surgery 101: Thyroid Radiofrequency Ablation RFA in 2018

Thyroid No Surgery 101: Thyroid Radiofrequency Ablation RFA in 2018

Thyroid No Surgery 101: Thyroid Cancer Radiofrequency Ablation RFA in 2018 Dr.Guttler Comments...

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More Use of Alternative Treatment Without Complications and Expense of Surgery or Radioiodine is Needed for Recurrent Thyroid Cancer in the Lymph Nodes.

More Use of Alternative Treatment Without Complications and Expense of Surgery or Radioiodine is Needed for Recurrent Thyroid Cancer in the Lymph Nodes.

More Use of Alternative Treatment Without Complications and Expense of Surgery or Radioiodine is...

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Thyroid Ultrasound? You don’t have an indication? Just say No.

Thyroid Ultrasound?  You don’t have an indication? Just say No.

 Thyroid Ultrasound?  You don’t have an indication?            Just say No. What are the...

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Santa Monica Thyroid Center Richard Guttler MD,FACE,ECNU, Thyroid Tumor Ablation Thyroidologist

Santa Monica Thyroid Center Richard Guttler MD,FACE,ECNU, Thyroid Tumor Ablation Thyroidologist

Santa Monica Thyroid Center Richard Guttler MD,FACE,ECNU, Thyroid Tumor Ablation Thyroidologist...

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Thyroid No Surgery Nodule and Tumor PEI/RFA Ablation 101: Patients Need to Insist Their Local ECNU Certified Endocrinologists Do Ablations or Refer Them to Someone That Does.

Thyroid No Surgery Nodule and Tumor PEI/RFA Ablation 101: Patients Need to Insist Their Local ECNU Certified Endocrinologists Do Ablations or Refer Them to Someone That Does.

Thyroid No Surgery Nodule and Tumor PEI/RFA Ablation 101: Patients Need to Insist Their Local...

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Thyroid No Surgery: Rule #1 Do Not Have A Screening Ultrasound.

Thyroid No Surgery: Rule #1 Do Not Have A Screening Ultrasound.

Thyroid No Surgery: Rule #1 Do Not Have A Screening Thyroid Ultrasound Don’t Listen to...

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Rfa 101

Thyroid Radiofrequency RFA 101: RFA for benign thyroid nodules, and Thyroid Cancer nodal metastatic lymph nodes, and micro-papillary thyroid cancer

The patient with a cosmetic or symptomatic  benign thyroid nodules can be treated with RFA.Also thyroid cancer lymph nodes and micro-papillary cancer can be an alternative  active surveillance. We need to send you to Europe or Korea until RFA is approved in the USA.

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Breakthrough Radiofrequency Ablation Treatment

Advanced Master’s Training for Endocrinologists Interested in Treating Their Own Patients with Radiofrequency Ablation( RFA)

Advanced Master’s Training for Endocrinologists Interested in Treating Their Own Patients with Radiofrequency Ablation( RFA)

Advanced Master’s Training for Endocrinologists Interested in Treating Their Own Patients...

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How Good is Radiofrequency RFA for Relief of Symptoms and Decreasing Nodules Size?

How Good is Radiofrequency RFA for Relief of Symptoms and Decreasing Nodules Size?

How Good is Radiofrequency RFA for Relief of Symptoms and Decreasing Nodules Size? My comments...

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Santa Monica Thyroid Center Richard Guttler MD,FACE,ECNU, Thyroid Tumor Ablation Thyroidologist

Santa Monica Thyroid Center Richard Guttler MD,FACE,ECNU, Thyroid Tumor Ablation Thyroidologist

Santa Monica Thyroid Center Richard Guttler MD,FACE,ECNU, Thyroid Tumor Ablation Thyroidologist...

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See More About Thyroid RFA
Thyroid Cancer Awareness Month
This is my doctor.
He is amazing.

I was wary because he has reviews that are not favorable. Upon reading the reviews it’s clear that people have him poor reviews for two reasons 1) he does not take insurance so it is a lot of out of pocket expense and 2) He doesn’t go in for “natural” treatments because not a single “natural” cure has even been shown to have any effect whatsoever on thyroid disease. Patients need medication.
He is ALL about using non-invasive treatments whenever possible. He will exhaust options before recommending surgery or life-altering treatments.
He, along with a handful of colleagues, innovated the specialty of neck/thyroid ultrasound. He is kind, gentle, and above all, honest and real with his patients.

Michelle King Cohen

From The Blog

Benign Thyroid Diseases of of hyperthyroidism, and Hashimoto’s thyroiditis have Increased Risk of Thyroid Cancer

Benign Thyroid Diseases of of hyperthyroidism, and Hashimoto’s thyroiditis  have Increased Risk of Thyroid Cancer

Hashimoto’s thyroiditis after before and treatment. Graves Disease DR.Guttler’s...

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Canned dog food recalled for containing beef thyroid glands with thyroid hormone

Canned dog food recalled for containing beef thyroid glands with thyroid hormone

Canned dog food recalled for containing beef thyroid glands with thyroid hormone...

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Furniture could be increasing your risk of thyroid cancer

Furniture could be increasing your risk of thyroid cancer

Could your furniture be making you sick? Comments by Dr.Guttler  The culprit may be lurking...

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The Sad State of Alternative Treatment for Benign Thyroid Nodules in the USA. There is Plenty of Blame to Go Around.

The Sad State of Alternative Treatment for Benign Thyroid Nodules in the USA. There is Plenty of Blame to Go Around.

The Sad State of Alternative Treatment for Benign Thyroid Nodules in the USA. There is Plenty of...

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Radiofrequency Ablation RFA of Benign Thyroid Nodules in the USA 101: Not Ready for Prime Time: Mayo Clinic Experience

Radiofrequency Ablation RFA of Benign Thyroid Nodules in the USA 101: Not Ready for Prime Time: Mayo Clinic Experience

Radiofrequency Ablation RFA of Benign Thyroid Nodules in the USA 101: Mayo Clinic Experience.Not...

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Be Among The First to Have Thyroid Radiofrequency Ablation RFA in my Office in the USA.

Be Among The First to Have Thyroid Radiofrequency Ablation RFA in my Office in the USA.

Be Among The First to Have Thyroid Radiofrequency Ablation RFA in my Office in the USA.  ...

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Thyroid RFA for Large Benign Thyroid Nodules 101: One Patient’s Experience in Korea

Thyroid RFA for Large Benign Thyroid Nodules 101: One Patient’s Experience in Korea

Thyroid RFA for Large Benign Thyroid Nodules 101: One Patient’s Experience in Korea My...

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Thyroid Radiofrequency Ablation RFA Training in Images: Dr.Richard Guttler’s Private Thyroid Ablation Master’s Class Training methods:

Thyroid Radiofrequency Ablation RFA Training in Images:  Dr.Richard Guttler’s Private Thyroid Ablation Master’s Class Training methods:

Thyroid Radiofrequency Ablation RFA Training in Images: Dr.Richard Guttler’s Private...

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Thyroid Radiofrequency Ablation RFA Training in Images: Dr.Richard Guttler’s Private Thyroid Ablation Master’s Class

Thyroid Radiofrequency Ablation RFA Training in Images: Dr.Richard Guttler’s Private Thyroid Ablation Master’s Class

Thyroid Radiofrequency Ablation RFA Training in Images Dr.Richard Guttler’s Private...

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Master’s Class for Endocrinologists doing their own thyroid biopsies.Thyroid Radiofrequency Ablation Training in Images

Master’s Class for Endocrinologists doing their own thyroid biopsies.Thyroid Radiofrequency Ablation Training in Images

Thyroid Radiofrequency Ablation RFA Training in Images#1 Dr.Richard Guttler’s Private...

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Large Benign Thyroid Nodules 101: Surgery is Not the First Choice for Treatment Anymore !

Large Benign Thyroid Nodules 101: Surgery is Not the First Choice for Treatment Anymore !

Large Benign Thyroid Nodules 101: Surgery is Not the First Choice for Treatment Anymore ! Benign...

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Master’s Class Resume in Fourth Quarter 2018: All Endocrinologists Doing their Own Thyroid Biopsies are Prime Targets of AACE to Learn Radiofrequency and Ethanol Ablation on Their Own Patients with Thyroid Nodules and Cancer.

Master’s Class Resume in Fourth Quarter 2018: All Endocrinologists Doing their Own Thyroid Biopsies are Prime Targets of AACE to Learn Radiofrequency and Ethanol Ablation on Their Own Patients with Thyroid Nodules and Cancer.

Master’s Class Resume in Fourth Quarter 2018: All Endocrinologists Doing their Own Thyroid...

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Are You A Candidate For Treatment of a Large Benign Thyroid Nodule Causing Local Symptoms or Is a Cosmetic Problem in the USA?

Are You A Candidate For Treatment of a Large Benign Thyroid Nodule Causing Local Symptoms or Is a Cosmetic Problem in the USA?

Are You A Candidate For Treatment of a Large Benign Thyroid Nodule Causing Local Symptoms or Is...

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How Do You Determine the Potential for Cure for Medullary Thyroid Cancer? A Novel New Test.

How Do You Determine the Potential for Cure for Medullary Thyroid Cancer? A Novel New Test.

How Do You Determine the Potential for Cure for Medullary Thyroid Cancer MCT? A Novel New Test...

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New paper on Circulating DNA cf DNA in Diagnosing Thyroid Nodules.

New paper on Circulating DNA cf DNA  in Diagnosing Thyroid Nodules.

My recent paper with Mark Lupo, Glenn Braunstein et al  showed that cfDNA was unable to be of...

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Another Patient Diagnosed with a Thyroid nodule by TV. Physician sees a lump and calls the station. She went and had a biopsy and had thyroid cancer.

Another Patient Diagnosed with a Thyroid nodule by TV. Physician sees a lump and calls the station. She went and had a biopsy and had thyroid cancer.

Another Patient Diagnosed with a Thyroid nodule by TV. Physician sees a lump and calls the...

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Variant Papillary Thyroid Cancer 101: Rare Hobnail Variant Papillary Cancer HPTC. What is it?

Variant Papillary Thyroid Cancer 101: Rare Hobnail Variant Papillary Cancer HPTC. What is it?

Variant Papillary Thyroid Cancer 101: Rare Hobnail Variant Papillary Cancer HPTC. What is it?...

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Thyroid Microcancer 101: What we learned from the Japanese Studies

Thyroid Microcancer 101: What we learned from the Japanese Studies

Thyroid Microcancer 101: What we learned from the Japanese Studies. Thyroid 28(1) 2018: p.23...

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Childhood Papillary Thyroid Cancer PTC 101: The follicular variant form may not need a total thyroidectomy.

Childhood Papillary Thyroid Cancer PTC 101: The follicular variant form may not need a total thyroidectomy.

Childhood Papillary Thyroid Cancer PTC 101: The follicular variant form may not need a total...

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Thyroid Cancer in Females 101: Do you really need the Single Dose of Radioiodine for your Low risk thyroid cancer?

Thyroid Cancer in Females 101: Do you really need the Single Dose of Radioiodine for your Low risk thyroid cancer?

Thyroid Cancer in Females 101: Do you really need the Single Dose of Radioiodine for your Low...

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Thyroid Cancer 101: Why the First Surgery is the Most Important and Needs an Expert Thyroid Surgeon.

Thyroid Cancer 101: Why the First Surgery is the Most Important and Needs an Expert Thyroid Surgeon.

Thyroid Cancer 101: Why the First Surgery is the Most Important and Needs an Expert Thyroid...

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Thyroid Surgery 101: Think Twice and get outside opinion before you go to surgery for thyroid nodules or cancer. They don’t tell you what can go wrong and how you will be effected for weeks or months after.

Thyroid Surgery 101:  Think Twice and get outside opinion before you go to surgery for thyroid nodules or cancer. They don’t tell you what can go wrong and how you will be effected for weeks or months after.

Thyroid Surgery 101: Think Twice and get outside opinion before you go to surgery for thyroid...

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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 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...

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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?

Thyroid Nodule Biopsy/ Cytology 101: What clinical management decisions are associated with the...

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Medullary Thyroid Cancer 101: Why is the Diagnosis Difficult by Community Based Pathologists?

Medullary Thyroid Cancer 101: Why is the Diagnosis Difficult by Community Based Pathologists?

Medullary Thyroid Cancer MCT 101: Why is the Diagnosis Difficult by Community Based...

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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

Thyroid Nodule Biopsies 101: How Endocrinologists Rapid Adequacy Assessment eROSE Prevents...

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Thyroid Cancer 101: In a Time of Too many biopsies on small thyroid nodules comes a patient with a very big nodule that was watched because the physicians thought the ultrasound image did not warrant a biosy for years while it continued to grow.

Thyroid Cancer 101: In a Time of Too many biopsies on small thyroid nodules comes a patient with a very big nodule that was watched because the physicians  thought the ultrasound image did not warrant a biosy for years while it continued to grow.

Thyroid Cancer 101: ALWAYS GET OUTSIDE OPINION BEFORE HAVING THYROID SURGERY FOR NODULES OR...

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Thyroid Cancer 101: Say No to Cancer Cures Schemes. Modern Day Snake Oil Salesmen.

Thyroid Cancer 101: Say No to Cancer Cures Schemes. Modern Day Snake Oil Salesmen.

Thyroid Cancer 101: Say No to Cancer Cures Schemes. Modern Day Snake Oil Salesmen. Comments by...

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Thyroid Nodules in Children 101: Can Ultrasound be Used to Diagnose a Benign Thyroid Nodule Alone without a Biopsy? Probably Not.

Thyroid Nodules in Children 101: Can Ultrasound be Used to Diagnose a Benign Thyroid Nodule Alone without a Biopsy? Probably Not.

Thyroid Nodules in Children 101: Can Ultrasound US be Used to Diagnose a Benign Thyroid Nodule...

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Subclinical Hypothyroidism 101: Does it Cause Depression? Probably Not!

Subclinical Hypothyroidism 101: Does it Cause Depression? Probably Not!

Subclinical Hypothyroidism  SCH 101: Does it Cause Depression? Probably Not! KIm J. et al JCEM...

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Thyroid Cancer 101: Age and Thyroid Cancer

Thyroid Cancer 101: Age and Thyroid Cancer

Thyroid Cancer 101: Age and Thyroid Cancer   RAI/131 therapy best when young BRAFF and...

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Thyroid No Surgery Ethanol Ablation PEI 101: Choking Patient with Massive Goiter and a 5 mm slit for an Airway is Not a Candidate for Surgery due to her Underlying Illness.

Thyroid No Surgery Ethanol Ablation PEI 101: Choking Patient with Massive Goiter and a 5 mm slit for an Airway is Not a Candidate for Surgery due to her Underlying Illness.

Thyroid Cysts 101 Thyroid No Surgery 101: Choking Patient with Massive Goiter and a 5 mm slit...

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Patient Education Site Being Blackmailed for Use of Pictures on the Thyroid Educational Website.

Patient Education Site Being Blackmailed for Use of Pictures on the Thyroid Educational Website.

Patient Education Site Being Blackmailed for Use of Pictures on the Thyroid Educational Website...

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Thyroid No Surgery 101: Thyroid Nodule Radiofrequency Ablation Study from Austria

Thyroid No Surgery 101: Thyroid Nodule Radiofrequency Ablation Study from Austria

Thyroid No Surgery 101: Thyroid Nodule Radiofrequency Ablation RFA Study from Austria. Dobnig H...

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Thyroid Hormone Therapy 101: Don’t Drink Milk with Your Thyroid Hormone

Thyroid Hormone Therapy 101: Don’t Drink Milk with Your Thyroid Hormone

Therapy 101: Don’t Drink Milk with Your Thyroid Hormone. Thyroid 28(4)2018 p.454 Chon DA...

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Thyroid 101: Can Thyroid Disease Make You Crazy?

Thyroid 101: Can Thyroid Disease Make You Crazy?

Thyroid 101: Can Thyroid Disease Make You Crazy? Comments by Dr. Guttler: After 43 years...

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Thyroid Cancer 101: Active Surveillance AS: What is It and Can I Be Treated by Just Follow up examinations without extensive thyroid surgery?

Thyroid Cancer 101: Active Surveillance AS: What is It and Can I Be Treated by Just Follow up examinations without  extensive thyroid surgery?

Thyroid Cancer 101: Active Surveillance What is It and Can I Be Treated by Just Follow up...

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Thyroid Cancer 101: New Combination Therapy For BRAF-mutated Anaplastic Thyroid Cancer

Thyroid Cancer 101: New Combination Therapy For BRAF-mutated Anaplastic Thyroid Cancer

Thyroid Cancer 101: New Combination Therapy For BRAF-mutated Anaplastic Thyroid Cancer  ...

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Thyroid No Surgery 101: What are the Options Besides Thyroid Surgery for Benign Thyroid nodules.

Thyroid No Surgery 101: What are the Options Besides Thyroid Surgery for Benign Thyroid nodules.

Thyroid No Surgery 101: What are the Options Besides Thyroid Surgery for Benign Thyroid nodules...

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What is the Best Treatment for Hypothyroidism? A very biased survey of thyroid patients.

What is the Best Treatment for Hypothyroidism? A very biased survey of thyroid patients.

What is the best treatment for hypothyroidism?    Comments by DR.Guttler While the majority...

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Thyroid in Pregnancy 101:Serum TSH How, when and why?

Thyroid in Pregnancy 101:Serum TSH How, when and why?

Thyroid in Pregnancy 101:Serum TSH How, when and why? Serum TSH determinations in pregnancy...

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What are the Benefits and Risks of Thyroid Nodule Evaluation in Patients ≥70 Years Old

What are the Benefits and Risks of Thyroid Nodule Evaluation in Patients ≥70 Years Old

What are the Benefits and Risks of Thyroid Nodule Evaluation in Patients ≥70 Years Old. Comments...

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Be Aware of Afirma GEC Suspicious Result in Indeterminate Thyroid Nodules. Many More Are Not Cancer, But the look alike Benign Noninvasive Follicular Neoplasm with Papillary-like Nuclei called NIFN-P.

Be Aware of Afirma GEC Suspicious Result in Indeterminate Thyroid Nodules. Many More Are Not Cancer, But the look alike Benign Noninvasive Follicular Neoplasm with Papillary-like Nuclei called NIFN-P.

Be Aware of Afirma GEC Suspicious Result in Indeterminate Thyroid Nodules. Many More Are Not...

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Multifocal Papillary Thyroid Cancer Ultrasound Images

Multifocal Papillary Thyroid Cancer Ultrasound Images

Multifocal Papillary Thyroid Cancer Ultrasound Images Kim D.K. et al Endo Practice 24 (4) April...

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