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 101: Thyroid Radiofrequency Ablation RFA in 2018

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.

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...

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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...

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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...

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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.

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...

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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 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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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

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...

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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...

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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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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 2018: Benign Thyroid Nodules Have Different Molecular Markers Than Papillary Thyroid Cancer.

Thyroid No Surgery 2018: Benign Thyroid Nodules Have Different Molecular Markers Than Papillary Thyroid Cancer.

The Future for Non-Surgical Minimally Invasive Ethanol and Radiofrequency Ablation is Exciting...

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Thyroid No Surgery 2018: Endocrinologists Interested In Thyroid Ablation for their Patients Need to Fly to Los Angeles for the First Free Saturday only Master’s Class in Thyroid Radiofrequency RFA.

Thyroid No Surgery 2018: Endocrinologists Interested In Thyroid Ablation for their Patients Need to Fly to Los Angeles for the First Free Saturday only Master’s Class in Thyroid Radiofrequency RFA.

Thyroid No Surgery 2018: Endocrinologists Interested In Thyroid Ablation for their Patients Need...

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Thyroid Cancer No Surgery 2018: You are told you need another thyroid cancer surgery because you have recurrent neck lymph nodes positive for papillary thyroid cancer.What are your options?

Thyroid Cancer No Surgery 2018: You are told you need another thyroid cancer surgery because you have recurrent neck lymph nodes positive for papillary thyroid cancer.What are your options?

Thyroid Cancer No Surgery 2018: You are told you need another thyroid cancer surgery because you...

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Thyroid Cancer No Surgery 2018: Thyroid cancer is a leading cause of Patient’s Bankruptcy.

Thyroid Cancer No Surgery 2018: Thyroid cancer is a leading cause of Patient’s Bankruptcy.

Thyroid Cancer No Surgery 2018: Thyroid cancer is a leading cause of Patient’s Bankruptcy...

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Thyroid Cancer No Surgery 2018: You are 25 Years 0ld and Told You Have a Small Micro-Papillary Thyroid Cancer.

Thyroid Cancer No Surgery 2018: You are 25 Years 0ld and Told You Have a Small Micro-Papillary Thyroid Cancer.

Thyroid Cancer No Surgery 2018: You are 25 Years Old and Told You Have a Small Micro-Papillary...

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Thyroid No Surgery: Number One Website for Thyroid Surgery Alternative Treatments

Thyroid No Surgery: Number One Website for Thyroid Surgery Alternative Treatments

Thyroid No Surgery: Number One Website for Thyroid Surgery Alternative Treatments (...

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Thyroid No Surgery 101: This could be you having quick relief of her symptoms with ethanol ablation of the cystic component of her very large complex benign nodule.

Thyroid No Surgery 101: This could be you having quick relief of her symptoms with ethanol ablation of the cystic component of her very large complex benign nodule.

Thyroid No Surgery 101: This could be you having quick relief of her symptoms with ethanol...

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Thyroid No Surgery 101; Why Risk Complications from Thyroid Surgery When a Simple Safe Out Patient Ethanol Ablation Procedure PEI is the Treatment of Choice for Benign Cystic Thyroid Nodules.

Thyroid No Surgery 101; Why Risk Complications from Thyroid Surgery When a Simple Safe Out Patient Ethanol Ablation Procedure PEI is the Treatment of Choice for Benign Cystic Thyroid Nodules.

Thyroid No Surgery 101; Why Risk Complications from Thyroid Surgery When a Simple Safe Out...

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Parathyroid Cysts: They look like thyroid cysts but usually have clear fluid and positive needle washout for PTH. .

Parathyroid Cysts: They look like thyroid cysts but usually have clear fluid and positive needle washout for PTH. .

Parathyroid Cysts: They look like thyroid cysts but usually have clear fluid and positive needle...

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Parathyroid No Surgery: Surgery is Not The Treatment of Choice for Non-Functioning Parathyroid Cysts.These are not the cause of hyperparathyroidism.

Parathyroid No Surgery: Surgery is Not The Treatment of Choice for Non-Functioning Parathyroid Cysts.These are not the cause of hyperparathyroidism.

Eur J Radiol. 2013 Feb;82(2):316-20. Symptomatic nonfunctioning parathyroid cysts: role of...

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Alcohol That was consumed as medical grade ethanol by the Actors in the movie MASH has a modern use as treatment of thyroid cystic nodules and cancer lymph nodes.

Alcohol That was consumed as medical grade ethanol by the Actors in the movie MASH has a modern use as treatment of thyroid cystic nodules and cancer lymph nodes.

Alcohol That was consumed as medical grade ethanol by the Actors in the movie MASH has a modern...

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Thyroid Radiofrequency for Thyroid Cancer and Nodules: Another reason for the FDA to stop stone walling ThyroidRF and approve it because we are are still one of the few countries without Thyroid RF.

Thyroid Radiofrequency for Thyroid Cancer and Nodules: Another reason for the FDA to stop stone walling ThyroidRF and approve it because we are are still one of the few countries without Thyroid RF.

Thyroid Radiofrequency for Thyroid Cancer and Nodules: Another reason for the FDA to stop stone...

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Do You Look Like Any of These Benign Thyroid Nodule Patients? Remember You Can Be Treated Without Surgery by Minimally Invasive Interventional Ablation Methods

Do You Look Like Any of These Benign Thyroid Nodule Patients? Remember You Can Be Treated Without Surgery by Minimally Invasive Interventional Ablation Methods

Do You Look Like Any of These Benign Thyroid Nodule Patients? Remember You Can Be Treated...

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Thyroid Cancer No More Surgery 101: How to Avoid the Surgeon Wanting to do Another modified radical neck dissection when there were recurrent cancer lymphs found after the first neck surgery.

Thyroid Cancer No More Surgery 101: How to Avoid the Surgeon Wanting to do Another modified radical neck dissection when there were recurrent cancer lymphs found after the first neck surgery.

Thyroid Cancer No More Surgery 101: How to Avoid the Surgeon Wanting to do Another modified...

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Parathyroid Lesions Mimic Thyroid Nodules Especially When They are Located in the Thyroid Gland

Parathyroid Lesions Mimic Thyroid Nodules Especially When They are Located in the Thyroid Gland

Parathyroid Lesions Mimic Thyroid Nodules Especially When They are Located in the Thyroid Gland...

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Does Your Thyroid Cancer Look Like These Examples? These Are Low Risk Small Tumors That Can Avoid or Defer Thyroid Surgery For Active Surveillance or Ethanol or Radiofrequency Ablation.

Does Your Thyroid Cancer Look Like These Examples? These Are Low Risk Small Tumors That Can Avoid or Defer Thyroid Surgery For Active Surveillance or Ethanol or Radiofrequency Ablation.

Does Your Thyroid Cancer Look Like These Examples? These Are Low Risk Small Tumors That Can...

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Does Your Thyroid Ultrasound Look Like These Examples? These are Biopsy and Molecular Marker Proven Benign Thyroid Nodules and Do Not Need Surgery.Thyroid Radiofrequency RFA is the Treatment of Choice.

Does Your Thyroid Ultrasound Look Like These Examples? These are Biopsy and Molecular Marker Proven Benign Thyroid Nodules and Do Not Need Surgery.Thyroid Radiofrequency RFA is the Treatment of Choice.

Does your Thyroid Ultrasound look like these examples? These are benign thyroid thyroid...

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Does your Thyroid Ultrasound look like these examples? These are benign thyroid or parathyroid cyst and do not need surgery.

Does your Thyroid Ultrasound look like these examples? These are benign thyroid or parathyroid cyst and do not need surgery.

Does your Thyroid Ultrasound look like these examples? These are benign thyroid or parathyroid...

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2018: The Continued “DARK AGES” for Alternative Treatment for Benign Thyroid Nodules

2018: The Continued “DARK AGES” for Alternative Treatment for Benign Thyroid Nodules

2018: The Continued “DARK AGES” for Alternative Treatment for Benign Thyroid...

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Thyroid No Surgery: Thyroid Surgery is Not The Treatment of Choice for Recurrent Benign Thyroid Complex Cysts or Parathyroid Cysts

Thyroid No Surgery: Thyroid Surgery is Not The Treatment of Choice for Recurrent Benign Thyroid Complex Cysts or Parathyroid Cysts

Thyroid No Surgery: Thyroid Surgery is Not The Treatment of Choice for Recurrent Benign Thyroid...

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Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery?...

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Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery?...

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Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery?...

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Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery?...

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Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery?...

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Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery?...

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Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.

Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery?...

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Thyroid No Surgery 2018: What are your options to avoid surgery with benign cystic or solid Nodules with either symptomatic or cosmetic issues

Thyroid No Surgery 2018: What are your options to avoid surgery with benign cystic or solid Nodules with either symptomatic or cosmetic issues

Thyroid No Surgery 2018: What are your options to avoid surgery with benign cystic or solid...

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Primary Care Physician’s 2018 Thyroid Patient Care Resolutions

Primary Care Physician’s 2018 Thyroid Patient Care Resolutions

Primary Care Physician’s 2018 Thyroid Patient Care Resolutions. Resolve to consider...

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Thyroid Patients 2018 New Years Resolutions

Thyroid Patients 2018  New Years Resolutions

     Prepared by Dr.Guttler for thyroid patients. Resolve to see an endocrinologist or clinical...

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Korea Here I Come

Korea Here I Come

2018 in the year I travel to Korea to complete my training in radio frequency ablation RFA for...

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Thyroid Radiofrequency Expert in Seoul Korea

Thyroid Radiofrequency Expert in Seoul Korea

Thyroid Radiofrequency Expert in Seoul Korea Professor JH Baek at the Ultrasound during a...

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Thyroid Tumor Ablation 101: Chinese Using Radiofrequency to Ablate Lateral Neck Nodal Metastatic Papillary Thyroid Cancer

Thyroid Tumor Ablation 101: Chinese Using Radiofrequency to Ablate Lateral Neck Nodal Metastatic Papillary Thyroid Cancer

Thyroid Tumor Ablation 101: Chinese Using Radiofrequency to Ablate Lateral Neck Nodal Metastatic...

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Thyroid Tumor Ablation 101: Radiofrequency Ablation RFA in The Heart of the Gastronomic Center of Italy

Thyroid Tumor Ablation 101: Radiofrequency Ablation RFA in The Heart of the Gastronomic Center of Italy

Thyroid Tumor Ablation 101: Radiofrequency Ablation RFA in The Heart of the Gastronomic Center...

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Thyroid Tumor Radiofrequency Ablation101: Ground Zero for RFA is In Seoul Korea.

Thyroid Tumor Radiofrequency Ablation101: Ground Zero for RFA is In Seoul Korea.

Thyroid Tumor Radiofrequency Ablation 101: “Ground Zero” for RFA is In Seoul Korea...

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Thyroid No Surgery 101: Thyroid Radiofrequency Ablation RFA in 2018

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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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...

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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...

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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...

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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...

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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...

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Hypothyroidism Images 101:

Hypothyroidism Images 101:

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

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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...

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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...

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