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

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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Thyroid No Surgery 2: The Art of Refusing a Thyroid Needle Biopsy with the Help of a Second Opinion

Thyroid No Surgery 2: The Art of Refusing a Thyroid Needle Biopsy with the Help of a Second Opinion

Thyroid No Surgery 2: The Art of Refusing a Thyroid Needle Biopsy with the Help of a Second...

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Thyroid No Surgery #3 The Art of Refusing a Surgery for a Small Micro-Papillary Thyroid Cancer

Thyroid No Surgery #3  The Art of Refusing a Surgery for a Small Micro-Papillary Thyroid Cancer

Thyroid No Surgery #3 The Art of Refusing a Surgery for a Small Micro-Papillary Thyroid Cancer...

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Thyroid No More Surgery # 6: How to Avoid Another Thyroid Cancer Neck Dissection for Recurrent Lymph Node Disease

Thyroid No More Surgery # 6: How to Avoid Another Thyroid Cancer Neck Dissection for Recurrent Lymph Node Disease

Thyroid No More Surgery: How to Avoid Another Thyroid Cancer Neck Dissection for Recurrent Lymph...

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Thyroid No Surgery # 5 How To Avoid Surgery With a Thyroid Follicular Variant of Papillary Thyroid Cancer now a benign tumor: NIFT-P

Thyroid No Surgery # 5 How To Avoid Surgery With a Thyroid Follicular Variant of Papillary Thyroid Cancer now a benign tumor: NIFT-P

Thyroid No Surgery # 5 How To Avoid Surgery With a Thyroid Follicular Variant of Papillary...

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Thyroid No Surgery # 4 Avoid surgery for thyroid and parathyroid cysts

Thyroid No Surgery # 4 Avoid surgery for thyroid and parathyroid cysts

Thyroid No Surgery # 4 Avoid surgery for thyroid and parathyroid cysts You have known there was...

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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

Radiofrequency Ablation RFA for Thyroid Nodules and Cysts 101

Radiofrequency Ablation RFA for Thyroid Nodules and Cysts 101

Radiofrequency Ablation RFA for Thyroid Nodules and Cysts 101 Cartoon of the decrease in the...

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Thyroid No Surgery: Ablation of Micro-Cancers with Radiofrequency RFA Coming Soon

Thyroid No Surgery: Ablation of Micro-Cancers with Radiofrequency RFA Coming Soon

Thyroid No Surgery: Ablation of Micro-Cancers with Radiofrequency RFA Coming Soon Comment: The...

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What is Radiofrequency Thyroid Ablation RFA?

What is Radiofrequency Thyroid Ablation RFA?

What is Radiofrequency Thyroid Ablation RFA? RFA is a minimally invasive alternative to thyroid...

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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

Thyroid Nodule 101: Egg Shell Calcification is Not an Indication of a Benign Nodule

Thyroid Nodule 101: Egg Shell Calcification is Not an Indication of a Benign Nodule

Thyroid Nodule 101: Egg Shell Calcification is Not an Indication of a Benign Nodule Eggshell...

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Thyroid Ethanol Ablation PEI 101: Treatment of Viscus Cystic Nodules

Thyroid Ethanol Ablation PEI 101: Treatment of Viscus Cystic Nodules

Thyroid Ethanol Ablation PEI 101: Treatment of Viscus Cystic Nodules. 2 step vs one step...

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Thyroid Nodule RFA 101: Look Mom No Surgery! Why my patient’s are flying to Europe or Korea for RFA or HIFU to get rid of their large benign symptomatic Nodules

Thyroid Nodule RFA 101: Look Mom No Surgery! Why my patient’s are flying to Europe or Korea for RFA or HIFU to get rid of their large benign symptomatic Nodules

Thyroid Nodule RFA 101: Look Mom No Surgery! Why my patient’s are flying to Europe or Korea for...

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Thyroid Nodule RFA 101: 4 Year Successful Experience with Ablation

Thyroid Nodule RFA 101: 4 Year Successful Experience with Ablation

Thyroid Nodule RFA 101: 4 Year Successful Experience with Ablation Four Years After RFA for...

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Thyroid Nodules 101: Indeterminate Biopsy Can Now collect Molecular Markers Without a Repeat Biopsy

Thyroid Nodules 101: Indeterminate Biopsy Can Now collect Molecular Markers Without a Repeat Biopsy

Thyroid Nodules 101: Indeterminate Biopsy Can Now collect Molecular Markers Without a Repeat...

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Thyroid Nodule Ablation 101: RFA Thermal Ablation for Benign Thyroid Nodules with Incomplete single session ablation.

Thyroid Nodule Ablation 101: RFA Thermal Ablation for Benign Thyroid Nodules with Incomplete single session ablation.

Thyroid Nodule Ablation 101: RFA Thermal Ablation for Benign Thyroid Nodules with Incomplete...

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Thyroid Cancer 101: 9 steps to Avoid Bankruptcy on your way to a Thyroid Cancer Diagnosis

Thyroid Cancer 101: 9 steps to Avoid Bankruptcy on your way to a Thyroid Cancer Diagnosis

Thyroid Cancer 101: 9 steps to Avoid Bankruptcy on your way to a Thyroid Cancer Diagnosis  ...

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Thyroid Nodule Ablation With Ethanol (PEI) 101 Why are physicians still sending these cyst patients for surgery when this is a safe outpatient procedure done by interventional thyroidologists IT and radiologists?

Thyroid Nodule Ablation With Ethanol (PEI) 101 Why are physicians still sending these cyst patients for surgery when this is a safe outpatient procedure done by interventional thyroidologists IT and radiologists?

Thyroid Nodule Ablation With Ethanol (PEI) 101 Why are physicians still sending these cyst...

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Thyroid Ethanol Ablation 101: Coming of Age? 7 years later Still not Recognized as a Simple Safe Alternative to Treat Recurrent Nodal Metastatic Papillary Cancer.Why?

Thyroid Ethanol Ablation 101: Coming of Age? 7 years later Still not Recognized as a Simple Safe Alternative to Treat Recurrent Nodal Metastatic Papillary Cancer.Why?

Thyroid Ethanol Ablation 101: Coming of Age? 7 years later Still not Recognized as a Simple Safe...

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Thyroid Ethanol Ablation for Recurrent Papillary Cancer 101: Why aren’t we doing more to use this procedure to save the patient the pain and suffering of another neck dissection? Shame on all the physicians who refuse to consider PEI for their thyroid cancer patients

Thyroid Ethanol Ablation for Recurrent Papillary Cancer 101: Why aren’t we doing more to use this procedure to save the patient the pain and suffering of another neck dissection? Shame on all the physicians who refuse to consider PEI for their thyroid cancer patients

Thyroid Ethanol Ablation for Recurrent Papillary Cancer 101: Why aren’t we doing more to...

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Thyroid RFA 101: RFA vs Ethanol in Mixed and Cystic Benign Thyroid Nodules

Thyroid RFA 101: RFA vs Ethanol in Mixed and Cystic Benign Thyroid Nodules

Thyroid RFA 101: RFA vs Ethanol in Mixed and Cystic Benign Thyroid Nodules 302 patient’s...

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Thyroid RFA 101: Case of a Solid Benign Nodule Treated with RFA.

Thyroid RFA 101: Case of a Solid Benign Nodule Treated with RFA.

Thyroid RFA 101: Case Study Confirmed by surgery of a Solid Benign Nodule Treated with RFA...

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Thyroid RFA 101: Case Report of Large Goiter Treated with RFA

Thyroid RFA 101: Case Report of Large Goiter Treated with RFA

Thyroid RFA 101: Case Report of Large Goiter Treated with RFA Bilateral nodular goiter before...

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Thyroid Nodules and /Cancer 101: What Devices are needed for CNB?

Thyroid Nodules and /Cancer 101: What Devices are needed for CNB?

Devices   Fine-needle aspiration uses finer needles (21–27 gauges) than the large-bore...

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Thyroid Nodules and Cancer 101: What can go wrong with cutting needle biopsies?

Thyroid Nodules and Cancer 101: What can go wrong with cutting needle biopsies?

Thyroid Nodules and Cancer 101: What can go wrong with cutting needle biopsies CNB? Core Needle...

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Thyroid Nodules and Cancer 101; New Guide to Use of Cutting Needle Biopsies

Thyroid Nodules and Cancer 101; New Guide to Use of Cutting Needle Biopsies

Thyroid Nodules and Cancer 101; New Guide to Use of Cutting Needle Biopsies (CNB ) Core Needle...

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Thyroid Nodules and Cancer 101: What is Core Needle Biopsy CNB for Thyroid Nodules and Cancer?

Thyroid Nodules and Cancer 101: What is Core Needle Biopsy CNB for Thyroid Nodules and Cancer?

Core Needle Biopsy Is Useful for Diagnosis of Thyroid Nodules after Previous FNA Biopsy was...

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Thyroid Cancer Ethanol Ablation 101: PEI is an acceptable Alternative to more Neck surgery or radioiodine

Thyroid Cancer Ethanol Ablation 101: PEI is an acceptable Alternative to more Neck surgery or radioiodine

Thyroid Cancer Ethanol Ablation 101: PEI is an acceptable Alternative to more Neck surgery or...

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Thyroid RFA 101: RFA Treatment of Primary Thyroid Cancer: Early Results on 7 Patients

Thyroid RFA 101: RFA Treatment of Primary Thyroid Cancer: Early Results on 7 Patients

 Thyroid RFA 101: RFA Treatment of Primary Thyroid Cancer: Early Results on 7 Patients. Jung...

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Thyroid Cytopathology 101: Unable to Diagnose NIFT-P by cells alone without a lobectomy

Thyroid Cytopathology 101: Unable to Diagnose NIFT-P by cells alone without a lobectomy

Thyroid Cytopathology 101: Unable to Diagnose NIFT-P by cells alone without a lobectomy The...

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ECNU Certified Endocrinologists with Experience in Doing Their own FNA and Even a Few Doing Ethanol Ablations,, This is your chance to Expand into Radiofrequency Ablation of Your Patient’s benign thyroid nodules cysts and thyroid cancer.

ECNU Certified Endocrinologists with Experience in Doing Their  own FNA and Even a Few Doing Ethanol Ablations,, This is your chance to Expand into Radiofrequency Ablation of Your Patient’s benign thyroid nodules cysts and thyroid cancer.

500+ECNU Certified Endocrinologists with Experience in Doing Their own FNA and Even a Few Doing...

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Thyroid No Surgery 101: Ethanol Ablation PEI for Recurrent Local Nodal Metastatic Papillary Cancer Disease After Prior Neck Dissection

Thyroid No Surgery 101: Ethanol Ablation PEI for Recurrent Local Nodal Metastatic Papillary Cancer Disease After Prior Neck Dissection

Thyroid No Surgery 101: Ethanol Ablation PEI for Recurrent Local Nodal Metastatic Papillary...

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Thyroid Ethanol Ablation PEI 101: The Equipment for Cystic thyroid and parathyroid nodules and thyroid cancer recurrent lymph nodes

Thyroid Ethanol Ablation PEI 101: The Equipment for Cystic thyroid and parathyroid nodules and thyroid cancer recurrent lymph nodes

Thyroid Ethanol Ablation PEI 101: The Equipment for Cystic thyroid and parathyroid nodules and...

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Thyroid No Surgery RFA 101: 15 Months Post Radiofrequency Ablation RFA of a Benign Thyroid Nodule

Thyroid No Surgery RFA 101: 15 Months Post Radiofrequency Ablation RFA of a Benign Thyroid Nodule

Thyroid No Surgery RFA 101: 15 Months Post Radiofrequency Ablation RFA of a Benign Thyroid...

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Thyroid No Surgery 101: Ethanol Ablation of Symptomatic Benign Thyroid Cystic Nodule

Thyroid No Surgery 101: Ethanol Ablation of Symptomatic Benign Thyroid Cystic Nodule

Thyroid No Surgery 101: Ethanol Ablation PEI of Recurrent Symptomatic Benign Thyroid Cystic...

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Thyroid Cancer No More Surgery 101: Ethanol Ablation for Of A large Congenital Rest Branchial Cleft Cyst Causing Choking in Patient with Papillary Thyroid Cancer

Thyroid Cancer No More Surgery 101: Ethanol Ablation for Of A large Congenital Rest Branchial Cleft Cyst Causing Choking in Patient with Papillary Thyroid Cancer

Thyroid Cancer No More Surgery 101: Ethanol Ablation for Of A large Congenital Rest Branchial...

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Thyroid No Surgery or Radioiodine 101: RFA for Autonomous Functioning Thyroid Nodule AFTN: A case study

Thyroid No Surgery or Radioiodine 101: RFA for Autonomous Functioning Thyroid Nodule AFTN: A case study

Thyroid No Surgery or Radioiodine 101: RFA for Autonomous Functioning Thyroid Nodule AFTN: A...

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Thyroid No Surgery 101: Even Big Goiters can be treated without surgery with Radiofrequency Ablation RFA

Thyroid No Surgery 101: Even Big Goiters can be treated without surgery with Radiofrequency Ablation RFA

Thyroid No Surgery 101: Even Big Bilateral Goiters can be treated without surgery with...

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Thyroid No Surgery:Thyroid Ethanol Ablation 101: 10 Year Follow up of Thyroid Cyst Treatment

Thyroid No Surgery:Thyroid Ethanol Ablation 101: 10 Year Follow up of Thyroid Cyst Treatment

Thyroid No Surgery:Thyroid Ethanol Ablation 101: 10 Year Follow up of Thyroid Cyst Treatment. 37...

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Childhood Atom Bomb Survivors had no effect radiation effects on thyroid function or autoimmunity 60-70 years later.

Childhood Atom Bomb Survivors had no effect radiation effects on thyroid function or autoimmunity 60-70 years later.

Childhood Atom Bomb Survivors had no effect radiation effects on thyroid function or...

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Over-treatment of Papillary thyroid cancer when it is multifocal

Over-treatment of Papillary thyroid cancer when it is multifocal

Over-treatment of Papillary thyroid cancer PTC when it is multifocal? Yes, If they want to treat...

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Why the Referrals to high Volume Surgeons just does not happen for the thyroid cancer elderly

Why the Referrals to high Volume Surgeons just does not happen for the thyroid cancer elderly

Why the Referrals to high Volume Surgeons just does not happen for the thyroid cancer elderly...

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Higher Free T3 in Males

Higher Free T3 in Males

Higher Free T3 in Males Strich D et al Endo.  Practice (23) July 7 2017  803-807 Major findings...

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Thyroid Surgery Complications 101: What can go Wrong?

Thyroid Surgery Complications 101: What can go Wrong?

Thyroid Surgery Complications 101: What can go Wrong? Everyone needs to know all that could...

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Thyroid Cancer in Pregnancy 101: What happens to the cancer in pregnancy without surgery until after delivery.

Thyroid Cancer in Pregnancy 101: What happens to the cancer in pregnancy without surgery until after delivery.

Thyroid Cancer in Pregnancy 101: What happens to the cancer in pregnancy without surgery until...

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Thyroid Ethanol Ablation 101: Safer Alternative treatment options than surgery for thyroglassal duct cysts

Thyroid Ethanol Ablation 101: Safer Alternative treatment options than surgery for thyroglassal duct cysts

“Thyroid Ethanol Ablation 101: Safer alternative treatment options than surgery for...

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Thyroid RFA 101: Critical Appraisal of RFA for thyroid nodules

Thyroid RFA 101: Critical Appraisal of RFA for thyroid nodules

Thyroid RFA 101: Critical Appraisal of RFA for thyroid nodules. A review in a 2017 endocrine...

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Thyroid Cancer 101: Hashimoto’s thyroiditis has a favorable prognostic impact on papillary thyroid cancer.

Thyroid Cancer 101: Hashimoto’s thyroiditis has a favorable prognostic impact on papillary thyroid cancer.

Thyroid Cancer 101: Hashimoto’s thyroiditis has a favorable prognostic impact on papillary...

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Thyroid Cancer Ethanol Ablation 101: PEI comes of age for more than just thyroid cysts.

Thyroid Cancer Ethanol Ablation 101: PEI comes of age for more than just thyroid cysts.

Thyroid Cancer Ethanol Ablation 101: PEI comes of age for more than just thyroid cysts...

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Thyroid RFA 101: The Moving Shot Technique MST vs the Fixed Electrode Technique FET. MST Has Better Results

Thyroid RFA 101: The Moving Shot Technique MST vs the Fixed Electrode Technique FET. MST Has Better Results

Thyroid RFA 101: The Moving Shot Technique MST vs the Fixed Electrode Technique FET. MST Has...

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Thyroid Cyst Ethanol Ablation PEI 101: Is Radiofrequency RFA Better than Ethanol PEI? As Good but not Better

Thyroid Cyst Ethanol Ablation PEI 101: Is Radiofrequency RFA Better than Ethanol PEI? As Good but not Better

Ethanol Ablation PEI 101: Is Radiofrequency RFA Better than Ethanol PEI? No but As Good but not...

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Thyroid Cancer RFA 101: RFA for Small Low Risk Papillary Thyroid Cancers

Thyroid Cancer RFA 101: RFA for Small Low Risk Papillary Thyroid Cancers

Thyroid Cancer RFA 101: RFA for Small Low Risk Papillary Thyroid Cancers This is the first study...

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Thyroid Cancer RFA 101: Alternative to Surgery or Active Surveillance

Thyroid Cancer RFA 101: Alternative to Surgery or Active Surveillance

Thyroid Cancer RFA 101: Alternative to Surgery or Active Surveillance Dr.J W Baek showed their...

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Thyroid Ethanol Ablation PEI 101: Alternative to Surgery or Active Surveillance

Thyroid Ethanol Ablation PEI 101: Alternative to Surgery or Active Surveillance

Thyroid Ethanol Ablation PEI 101: Alternative to Surgery or Active Surveillance At the World...

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