Welcome to the Thyroid Center of Santa Monica

Out of Network Second Opinion Before Surgery for Thyroid Nodules and Cancer

How Does it work?

1.Make contact with a thyroid cancer expert that is not a surgeon! An endocrinologist with expertise in thyroid cancer is the best option.

2. Send all your records including pathology material before the interview.

3. The evaluation will include:

Complete thyroid examination for nodules and lymph nodes.

Thyroid blood tests with antibodies and thyroglobulin.

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.

Review of prior FNA slides.

Final Second opinion results and recommendations.

Second Opinion results:

What if the recommendation is no surgery?

What are the non-surgical options possible?

Active surveillance of <1.5 cm primary papillary thyroid cancers Follow these with ultrasound yearly instead of surgery. Only operate if the nodule grows >3 mm. Most never have surgery, and the rest do just as well as if the had surgery at first.Alternative if the patient does not want surgery of long periods with a cancer in the neck they can opt of ethanol ablation or RFA.

~ Ultrasound-Guided PEI thyroid mixed cysts,
Parathyroid cysts, thyroid cancer lymph nodes and small <1.5 cm primary cancers

~ RFA radiofrequency ablation for solid nodules, recurrent thyroid cancers and small primary cancers

Out of Network Second Opinion Before Surgery.

Thyroid Surgery is rarely an emergency.It is an elective procedure.

Don’t rush without knowing all your options.

Why a second opinion? It can confirm that you are doing the right thing.

It can change the diagnosis.
It can change the extent of surgery.
It can find the type of cancer has been downgraded to benign.
It can find that you had a nodule that was incompletely evaluated before recommending surgery.
It can help you find non-surgical treatment for benign nodules and some thyroid cancers.
It can find that your small cancer is harmless and can be best treated by just yearly ultrasounds or ethanol ablation instead of surgery.
It can help you find alternative treatment specialists for small cancers in the thyroid and local recurrent cancers.
It can determine if a nodule or cancer can be treated with minimally invasive ethanol or radio frequency ablation instead of surgery.
9.Finally it can direct you to high volume thyroid surgeons with low complication rate.
Second opinion is not a wasted time.It is giving you peace of mind that you are doing the right thing.
A second opinion with me can save you from things going wrong if you just rush to surgery.
Call me at 310-393-8860 or email to thyroid.manager@protonmail.com for my second opinion.
Richard Gutter MD,FACE,ECNU
43 years helping people with thyroid cancer and nodules to get the right care they deserve the first time.

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 for Thyroid cysts 101: 10 year post PEI No Recurrence.

Posted 8 days ago

101 0 0

Thyroid No Surgery for Thyroid cysts 101: 10 year post PEI No Recurrence.

Surgery for Thyroid cysts 101: 10 year post PEI No Recurrence. 10 years ago I saw this 31 Y/O...

More info

Thyroid Cancer 101: Why You Need An Expert Second Opinion Before Surgery

Posted 22 days ago

137 0 0

Thyroid Cancer 101: Why You Need An Expert Second Opinion Before Surgery DR. Guttler’s...

More info

Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died.

Posted July 2, 2018

238 0 0

Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died. Dr...

More info

Thyroid Nodules and Cancer 101: Radiofrequency Ablation (RFA) Instead of Surgery.Is It Safe? The Answer is Yes.

Posted June 29, 2018

223 0 0

Thyroid Nodules and Cancer 101: Radiofrequency Ablation (RFA) Instead of Surgery. Is It Safe?...

More info

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

Posted April 26, 2018

978 2 0

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

More info

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

653 0 0

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

More info

Thyroid No Surgery 101: Thyroid Radiofrequency Ablation RFA in 2018

Posted December 18, 2017

993 0 7

Thyroid No Surgery 101: Thyroid Radiofrequency Ablation RFA in 2018

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

More info

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

880 0 1

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

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

Medical Hall of Shame: Ignoring the USA Thyroid Medical Device Market for 15 Years.

Posted 11 days ago

92 0 0

Medical Hall of Shame: Ignoring the USA Thyroid Medical Device Market for 15 Years The third...

More info

Thyroid Nodule No Surgery 101: Alternative to Surgery Radiofrequency Ablation RFA.

Posted 12 days ago

79 0 0

Thyroid Nodule No Surgery 101: Alternative to Surgery Radiofrequency Ablation RFA. RFA is not...

More info

Benign Thyroid Nodules 101: The Case for Alternative Treatment to Replace Surgery

Posted 12 days ago

75 0 0

Benign Thyroid Nodules 101: The Case for Alternative Treatment to Replace Surgery This large...

More info

See More About Thyroid RFA

Welcome to the Thyroid Center of Santa Monica

Out of Network Second Opinion Before Surgery for Thyroid Nodules and Cancer How Does it work?

Second Opinion results: What if the recommendation is no surgery? What are the non-surgical options possible?

Out of Network Second Opinion Before Surgery. Thyroid Surgery is rarely an emergency.It is an elective procedure. Don’t rush without knowing all your options.

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 for Thyroid cysts 101: 10 year post PEI No Recurrence.

Thyroid Cancer 101: Why You Need An Expert Second Opinion Before Surgery

Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died.

Thyroid Nodules and Cancer 101: Radiofrequency Ablation (RFA) Instead of Surgery.Is It Safe? The Answer is Yes.

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.

Rfa 101

Breakthrough Radiofrequency Ablation Treatment

Medical Hall of Shame: Ignoring the USA Thyroid Medical Device Market for 15 Years.

Thyroid Nodule No Surgery 101: Alternative to Surgery Radiofrequency Ablation RFA.

Benign Thyroid Nodules 101: The Case for Alternative Treatment to Replace Surgery

From The Blog

Thyroid 101: Molecular Markers Should be Done on indeterminate Nodules Before Sending You for Unnecessary Thyroid Surgery

Thyroid 101: What are the possible results of the nodule biopsy?

Thyroid 101: What happens after the biopsy?

Thyroid 101: How do you do a thyroid nodular biopsy?

Thyroid Biopsy 101: What is this Test?

Thyroid Biopsy 101: How do I get ready for the biopsy?

Thyroid 101: Beware of Generics, and Stick with Branded Thyroid Hormone Only.

Thyroid No Surgery Pseudo-Cancer 101: The Former “Look A Like” Papillary Cancer that is not a Cancer Now.

Thyroid Nodules 101: Only a Few Are Cancer

2018 Top TEN Thyroid Blogs: ThyroidNoSurgery.com is Number 4.

Hashimoto’s Thyroiditis 101: The number one cause of Hypothyroidism: Complications

Thyroid No Surgery for Thyroid cysts 101: 10 year post PEI No Recurrence.

Thyroid No Surgery 101: Ethanol Ablation PEI for Cystic Nodules

Thyroid Nodules No Surgery 101: Recurrent thyroid cyst treated with ethanol PEI.

Iodine Supplements in The USA 101: They Can Effect Negatively Effect Your Mortality.

Thyroid Cysts No Surgery 101: Easily Visible Large Cyst in the Center of the Neck

Thyroid Cancer 101: Persistence of Thyroglobulin Antibody (TG AB ) for Years Not A Sign of Recurrence.

Thyroid Nodule Biopsies 101: Smaller Needle and No Suction is Better to Reduce Inadequate Results.

Does Your Physician Order Reverse rT3 in a Thyroid Evaluation?

Thyroid Surgery 101: Less unnecessary thyroid surgery and less extent of surgery are keys to reducing damage to Parathyroid glands.

Thyroid Cancer 101: Rare Case with a Large Palpable Lymph Node with a Small Thyroid Gland.

Thyroid Cancer 101: More Cancer after 2-3 Surgeries and Radioiodine. Consider Alternative Ethanol Ablation PEI.

Everything you need to know about thyroid function.

Medical Hall of Shame: Ignoring the USA Thyroid Medical Device Market for 15 Years.

Thyroid Nodule No Surgery 101: Alternative to Surgery Radiofrequency Ablation RFA.

Thyroid Cancer 101: After 3 Surgeries,2 Radioiodine Treatments, and a New Lymph Node is Found to be Thyroid Cancer Again!

Benign Thyroid Nodules 101: The Case for Alternative Treatment to Replace Surgery

Thyroid Hormone Booster: Bad Idea For Dutch Speed Skaters

Thyroid Nodules 101: Most are Harmless,A Few are Cancers No Rush to Surgery as It his Never an Emergency or Life Threatening.

Thyroid Cancer 101: Dragon Boat Crew Member With Thyroid Cancer.

Thyroid Cysts 101: Ethanol ablation PEI is significantly superior to radiofrequency (RF) ablation.

Thyroid Lymph Node Cancer Ethanol Ablation PEI 101 No More Radical Neck Dissection Surgery or Radioiodine.

Parathyroid Cysts 101 Natural History and Ethanol Ablation Treatment

Thyroid No Surgery Star Physician Dies: First Paper on Thyroid Needle Biopsies

Parathyroid Benign Cystic Nodule 101: Ethanol Ablation is First Line Treatment Over Surgery.

Thyroid Cancer 101: Recurrent Thyroid Lymph Node Cancer Treated with Ethanol as Alternative to Another Neck Surgery.

Thyroid Cancer 101: Recurrent Thyroid Lymph Node Cancer Treated with Ethanol as Alternative to Another Neck Surgery.

Thyroid Benign Cystic Nodules 101: Ethanol Ablation is First Line Treatment Over Surgery.

Thyroid Cancer 101: Recurrent Thyroid Lymph Node Cancer Treated with Ethanol as Alternative to Another Neck Surgery.

Thyroid Benign Cystic Nodules 101: Ethanol Ablation is First Line Treatment Over Surgery.

Thyroid Cancer 101: Women Cases Tripled Over Last 30 Years

Young Cancer Survivors Have High Risk of Thyroid Disease.

Thyroid Disease 101: What Moms Need to Know.

Thyroid Cancer 101: Why You Need An Expert Second Opinion Before Surgery

Out of Network Second Opinion Before Surgery for Thyroid Nodules and Cancer

How Does it work?

Second Opinion results:

What if the recommendation is no surgery?

What are the non-surgical options possible?

Out of Network Second Opinion Before Surgery.

Thyroid Surgery is rarely an emergency.It is an elective procedure.

Don’t rush without knowing all your options.

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