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

Posted April 26, 2018

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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.

Posted March 7, 2018

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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

Posted December 18, 2017

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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.

Posted September 19, 2017

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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.

Posted September 15, 2017

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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

Posted September 15, 2017

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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.

Posted August 29, 2017

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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.

Posted May 11, 2017

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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 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)

Posted March 15, 2018

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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?

Posted October 13, 2017

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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

Posted September 15, 2017

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

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See More About Thyroid RFA

Welcome to the Thyroid Center of Santa Monica

Innovative Diagnostic Options

Advanced Treatments

Active Surveillance

Meet Dr. Guttler

Non-Surgical Thyroid Cancer Treatment

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

Thyroid No Surgery 101

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

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.

Thyroid No Surgery 101: Thyroid Radiofrequency Ablation RFA in 2018

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

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

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

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: Rule #1 Do Not Have A Screening Ultrasound.

Rfa 101

Breakthrough Radiofrequency Ablation Treatment

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

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

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

From The Blog

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

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

Furniture could be increasing your risk of thyroid cancer

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

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

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

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

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

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

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

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.

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

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

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

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.

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

Thyroid Microcancer 101: What we learned from the Japanese Studies

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

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

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

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 Nodule Biopsy/ Cytology 101: What you need to know as a patient about your thyroid biopsy report.

Thyroid Nodule Biopsy/ Cytology 101: What clinical management decisions are associated with the 6 Bethesda Reporting groups?

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

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

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

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

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

Thyroid Cancer 101: Age and Thyroid Cancer

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.

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

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

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

Thyroid 101: Can Thyroid Disease Make You Crazy?

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: New Combination Therapy For BRAF-mutated Anaplastic Thyroid Cancer

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

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

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

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

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.

Multifocal Papillary Thyroid Cancer Ultrasound Images

Innovative
Diagnostic Options

Advanced
Treatments

Active
Surveillance

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