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

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...

More info

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...

More info

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...

More info

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...

More info

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...

More info

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...

More info

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...

More info

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...

More info

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.

Learn More

Breakthrough Radiofrequency Ablation Treatment

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...

More info

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...

More info

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...

More info
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 No Surgery 101: Ethanol Ablation PEI for Branchial Cleft Cysts.

Thyroid No Surgery 101: Ethanol Ablation PEI for Branchial Cleft Cysts.

Thyroid No Surgery 101: Ethanol Ablation  PEI for Branchial Cleft Cysts. Drainage alone will not...

More info

Thyroid Tumor Radiofrequency Ablation RFA Referral Center in Italy

Thyroid Tumor Radiofrequency Ablation RFA Referral Center in Italy

Thyroid Tumor Radiofrequency Ablation RFA Referral Center in Italy. The Centro-Palmer Institute...

More info

Thyroid Nodule No Surgery 101: Early Signs of Regrowth after Radiofrequency Ablation (RFA).

Thyroid Nodule No Surgery 101: Early Signs of Regrowth after Radiofrequency Ablation (RFA).

Comments by Dr.G. on this article. The use of increase in volume from one visit to the next was...

More info

Thyroid Tumor Ablation with Radiofrequency RFA 101

Thyroid Tumor Ablation with Radiofrequency RFA 101

 Thyroid Tumor Ablation with Radiofrequency RFA 101 Comments on this review article looking at...

More info

Thyroid No Surgery For Thyroid Nodules 101: Ethanol (PEI) or Radiofrequency (RFA) Ablation Instead of Surgery

Thyroid No Surgery For Thyroid Nodules 101: Ethanol (PEI) or Radiofrequency (RFA) Ablation Instead of Surgery

Thyroid No Surgery For Thyroid Nodules 101: Ethanol (PEI) or Radiofrequency (RFA) Ablation...

More info

Hypothyroidism Images 101:

Hypothyroidism Images 101:

Hypothyroidism Images 101: Hypothyroid Patient Before and After thyroid hormone replacement...

More info

Graves’Disease,Thyroid Eye disease and Hyperthyroid Images 101

Graves’Disease,Thyroid Eye disease and Hyperthyroid Images 101

Graves’Disease,Thyroid Eye disease and Hyperthyroid Images 101 Hyperthyroid Patient image...

More info

Thyroid No Surgery 101: Goiter and Nodules

Thyroid No Surgery 101: Goiter and Nodules

Thyroid No Surgery 101: Goiter and Nodules A swelling in the neck due to an enlarged thyroid...

More info

Thyroid No Surgery 101: Thyroid Nodules Treated Without Surgery with Ethanol Ablation PEI

Thyroid No Surgery 101: Thyroid Nodules Treated Without Surgery with Ethanol Ablation PEI

Thyroid No Surgery 101: Thyroid Nodules Treated Without Surgery with Ethanol Ablation PEI Series...

More info

Thyroid Cancer No Surgery 101: Radiofrequency Ablation RFA for Treatment of Locally Recurrent Thyroid Cancers Smaller Than 2 Cm.

Thyroid Cancer No Surgery 101:  Radiofrequency Ablation RFA for Treatment of Locally Recurrent Thyroid Cancers Smaller Than 2 Cm.

Thyroid Cancer No Surgery 101: Radiofrequency Ablation RFA for Treatment of Locally Recurrent...

More info

Thyroid No Surgery 101: Ethanol Ablation PEI all but Ignored by Endocrinologists and Surgeons?Why is a First Line Treatment for Benign Thyroid Cystic Nodules Underutilized in the USA?

Thyroid No Surgery 101: Ethanol Ablation PEI all but Ignored by Endocrinologists and Surgeons?Why is a First Line Treatment for Benign Thyroid Cystic Nodules Underutilized in the USA?

Thyroid No Surgery 101: Ethanol Ablation PEI all but Ignored by Endocrinologists and Surgeons?...

More info

Thyroid Tumor Ablation with Radiofrequency RFA 101: The basics

Thyroid Tumor Ablation with Radiofrequency RFA 101: The basics

Thyroid Tumor Ablation with Radiofrequency RFA 101: The basics 1. Radiofrequency ablation is...

More info

Thyroid Tumor Ablation with Ethanol (PEI) 101: The Basics

Thyroid Tumor Ablation with Ethanol (PEI) 101: The Basics

Thyroid Tumor Ablation with Ethanol (PEI) 101: The Basics The basic methods for doing PEI for ...

More info

Thyroid No Surgery 101: Combination Therapy with Ethanol PEI and Radiofrequency Ablation RFA of Benign Thyroid Nodules

Thyroid No Surgery 101: Combination Therapy with Ethanol PEI and Radiofrequency Ablation RFA of Benign Thyroid Nodules

Thyroid No Surgery 101: Combination Therapy with Ethanol PEI and Radiofrequency Ablation RFA of...

More info

Thyroid No Surgery 101: Post Ethanol Ablation Ultrasound Patterns for Thyroid Cysts: Some Mimic Cancer Changes

Thyroid No Surgery 101: Post Ethanol Ablation Ultrasound Patterns for Thyroid Cysts: Some Mimic Cancer Changes

Thyroid No Surgery 101: Post Ethanol Ablation PEI Ultrasound Patterns for Thyroid Cysts: Some...

More info

Thyroid No Surgery101: Another Non-Surgical Therapy for Loco-Regional Recurrence of Well-Differentiated Thyroid Carcinoma

Thyroid No Surgery101: Another Non-Surgical Therapy for Loco-Regional Recurrence of Well-Differentiated Thyroid Carcinoma

Thyroid No Surgery 101: Another Non-Surgical Therapy Besides Ethanol Ablation PEI for...

More info

Thyroid Ethanol Ablation PEI for Solid and Cystic Nodules: Yes Solid Nodules Can Be treated with Ethanol

Thyroid Ethanol Ablation PEI for Solid and Cystic Nodules: Yes Solid Nodules Can Be treated with Ethanol

Thyroid Ethanol Ablation PEI for Solid and Cystic Nodules.Yes Solid Nodules Can Be treated with...

More info

Thyroid No surgery 101: Ethanol Ablation Works for Some Solid Nodules:Not Just thyroid cysts and is Cheaper Than Thyroid RFA and can be done in the USA : Which Ones?

Thyroid No surgery 101: Ethanol Ablation Works for Some Solid Nodules:Not Just thyroid cysts and is Cheaper Than Thyroid RFA and can be done in the USA : Which Ones?

Thyroid No surgery 101: Thyroid Ethanol Ablation PEI Works for Some Solid Nodules Not Just...

More info

Thyroid Cancer No Unneeded Surgery 101; Low Risk= No or Less Surgery

Thyroid Cancer No Unneeded Surgery 101; Low Risk= No or Less Surgery

Thyroid Cancer No Unneeded Surgery 101; Low Risk= No or Less Surgery DR.G comments on this...

More info

Thyroid Cancer No surgery 101: Thyroid Tumor Radiofrequency Ablation RFA for Recurrent Thyroid Cancers

Thyroid Cancer No surgery 101: Thyroid Tumor Radiofrequency Ablation RFA for Recurrent Thyroid Cancers

Thyroid Cancer No surgery 101: Thyroid Tumor Radiofrequency Ablation RFA for Recurrent Thyroid...

More info

Thyroid Cancer in Children 101: Endocrine Neck Ultrasound

Thyroid Cancer in Children 101: Endocrine Neck Ultrasound

Thyroid Cancer in Children 101: Endocrine Neck Ultrasound Best for recurrent disease in the neck...

More info

Thyroid Nodules in Kids 101: How Common?

Thyroid Nodules in Kids 101: How Common?

Thyroid Nodules in Kids 101: How Common?   1.Thyroid nodules are less common among children...

More info

Thyroid Cancer in Children 101: Is It A Different Animal Than In Adults?

Thyroid Cancer in Children 101: Is It A Different Animal Than In Adults?

Thyroid Cancer in Children 101: Is It A Different Animal Than In Adults? Comments by Dr.G...

More info

Thyroid Nodules and Cancer in Children 101: New Cases

Thyroid Nodules and Cancer in Children 101: New Cases

Thyroid Nodules and Cancer in Children 101     Comments by Dr.G. on the incidence in...

More info

Thyroid No surgery 101: Diagnostic Endocrine Neck Ultrasound in Small Thyroid Nodules

Thyroid No surgery 101: Diagnostic Endocrine Neck Ultrasound in Small Thyroid Nodules

Thyroid No surgery 101: Diagnostic Endocrine Neck Ultrasound in Small Thyroid Nodules World J...

More info

Thyroid No Surgery 101: How to Avoid Unnecessary Testing, Biopsies and Surgery

Thyroid No Surgery 101: How to Avoid Unnecessary Testing, Biopsies and Surgery

Thyroid No Surgery 101: How to Avoid Unnecessary Testing, Biopsies and Surgery Refuse a thyroid...

More info

Editorial to Endocrinologists: Don’t Let Radiologists Take Control of Thyroid Tumor Ablation of Nodules and Cancer.

Editorial to Endocrinologists: Don’t Let Radiologists Take Control of Thyroid Tumor Ablation of Nodules and Cancer.

Editorial to Endocrinologists: Don’t Let Radiologists Take Control of Thyroid Tumor...

More info

Micro-papillary Thyroid Cancer: What Should the Patient Do with This Diagnosis?

Micro-papillary Thyroid Cancer: What Should the Patient Do with This Diagnosis?

Micropapillary Thyroid Cancer: What Should the Patient Do with This Diagnosis? Comments by...

More info

Thyroid Ethanol Ablation of Thyroid Cysts: What is the Recurrence Rate and what is the results of retreatment with a second PEI or RFA session?

Thyroid Ethanol Ablation of Thyroid Cysts: What is the Recurrence Rate and what is the results of retreatment with a second PEI or RFA session?

Thyroid Ethanol Ablation PEI of Thyroid Cysts: What is the Recurrence Rate and what is the...

More info

Thyroid RFA 2017 Update and Final Words on Thyroid RFA by Dr.Guttler

Thyroid RFA 2017 Update and Final Words on Thyroid RFA by Dr.Guttler

Final Words on Thyroid RFA by Dr.Guttler Main weaknesses is in using RFA on the thyroid gland...

More info

Clinical Value of Thyroid RFA

Clinical Value of Thyroid RFA

Clinical Value of Thyroid RFA RFA therapy has mainly been aimed at decreasing pressure symptoms...

More info

Thyroid RFA Procedure

Thyroid RFA Procedure

Thyroid RFA procedure The patient should be positioned in supine with neck slightly extended...

More info

How do we decide which patient is a candidate for thyroid RFA?

How do we decide which patient is a candidate for thyroid RFA?

                         How do we decide which patient is a candidate for thyroid RFA? In 2012...

More info

How Does Thyroid RFA Work?

How Does Thyroid RFA Work?

How Does Thyroid RFA work? Thyroid RFA works similar to liver RFA and refers to heat ablation by...

More info

Thyroid Radiofrequency Ablation of Thyroid Nodules: A 2017 Preview Entry into the United States. Thyroid Nodule Background

Thyroid Radiofrequency Ablation of Thyroid Nodules: A 2017 Preview Entry into the United States.    Thyroid Nodule Background

Thyroid Radiofrequency Ablation of Thyroid Nodules: A 2017 Preview Entry into the United States...

More info

Thyroid Radiofrequency Ablation of Thyroid Nodules: A 2017 Preview Introduction

Thyroid Radiofrequency Ablation of Thyroid Nodules: A 2017 Preview Introduction

Thyroid Radiofrequency Ablation of Thyroid Nodules: A 2017 Preview Comments Richard Guttler...

More info

Thyroid Radiofrequency Ablation RFA of Thyroid Nodules: A 2017 Preview Entry into the United States

Thyroid Radiofrequency Ablation RFA of Thyroid Nodules: A 2017 Preview Entry into the United States

Thyroid Radiofrequency Ablation of Thyroid Nodules: A 2017 Preview Entry into the United States...

More info

Interventional Thyroidologists IT Training Programs: How to Get Started in Thyroid Tumor Ablation for Endocrinologists.

Interventional Thyroidologists IT Training Programs: How to Get Started in Thyroid Tumor Ablation for Endocrinologists.

Interventional Thyroidologists IT Training Programs: How to Get Started in Thyroid Tumor...

More info

Endocrinologists Are you interested in Thyroid Tumor Ablation with Radiofrequency RFA?

Endocrinologists  Are you interested in Thyroid Tumor Ablation with Radiofrequency RFA?

I will be at the AACE thyroid advanced course in Tempe AZ in January 12-13 to answer any...

More info

2016 Thyroid Nodule Guidelines: Finally Recognition of Ethanol and Radiofrequency Ablation Procedures

2016 Thyroid Nodule Guidelines: Finally Recognition of  Ethanol and Radiofrequency Ablation Procedures

 2016 Thyroid Nodule Guidelines: Finally Recognition of Ethanol PEI and Radiofrequency Ablation...

More info

Thyroid Cancer Ethanol Ablation Treatment 101: The Secret is Out That Surgery is Not The Only Treatment for Recurrent Thyroid Cancers

Thyroid Cancer Ethanol Ablation Treatment 101: The Secret is Out That Surgery is Not The Only Treatment for Recurrent Thyroid Cancers

Thyroid Cancer Ethanol Ablation Treatment 101: The Secret is Out That Surgery is Not The Only...

More info

Thyroid Tumor and Nodule Radiofrequency Ablation RFA 101: What Can We do For You Now to Save an Unnecessary or Another Thyroid Surgery?

Thyroid Tumor and Nodule Radiofrequency Ablation RFA 101: What Can We do For You Now to Save an Unnecessary or Another Thyroid Surgery?

Thyroid Tumor and Nodule Radiofrequency Ablation RFA 101: What Can We do For You Now to Save an...

More info

Thyroid Tumor and Nodule Ethanol PEI Ablation 101: What Can We do For You Now to Save an Unnecessary or Another Thyroid Surgery?

Thyroid Tumor and Nodule Ethanol PEI Ablation 101: What Can We do For You Now to Save an Unnecessary or Another Thyroid Surgery?

Thyroid Tumor and Nodule Ethanol PEI Ablation 101: What Can We do For You Now to Save an...

More info

Thyroid RFA 101: Virtual Needle Tracking Aids Ablation

Thyroid RFA 101: Virtual Needle Tracking Aids Ablation

Thyroid RFA 101: Virtual Needle Tracking Aids Ablation Percutaneous radiofrequency ablation of...

More info
Blog