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.

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

Posted May 11, 2017

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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

Posted April 27, 2017

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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

Posted November 30, 2016

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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: 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

Posted November 29, 2016

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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

Posted November 28, 2016

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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

Posted July 16, 2017

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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

Posted July 16, 2017

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

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What is Radiofrequency Thyroid Ablation RFA?

Posted July 16, 2017

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

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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

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

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

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

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

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 # 4 Avoid surgery for thyroid and parathyroid cysts

Rfa 101

Breakthrough Radiofrequency Ablation Treatment

Radiofrequency Ablation RFA for Thyroid Nodules and Cysts 101

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

What is Radiofrequency Thyroid Ablation RFA?

From The Blog

Thyroid Ablation 101: Introductory Master’s Classes For the Future Interventional Thyroidologist

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

Thyroid Ethanol Ablation PEI 101: Treatment of Viscus Cystic 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: 4 Year Successful Experience with Ablation

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

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

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

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

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

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

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

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

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

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

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

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

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

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.

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

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

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

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

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

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

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

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

Over-treatment of Papillary thyroid cancer when it is multifocal

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

Higher Free T3 in Males

Thyroid Surgery Complications 101: What can go Wrong?

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

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

Thyroid RFA 101: Critical Appraisal of RFA for thyroid nodules

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

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

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

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

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

Thyroid Cancer RFA 101: Alternative to Surgery or Active Surveillance

Innovative
Diagnostic Options

Advanced
Treatments

Active
Surveillance

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