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...

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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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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...

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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

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...

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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...

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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...

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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...

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Complications from thyroid RFA: What can go wrong?

Complications from thyroid RFA: What can go wrong?

Complications: What can go wrong? RFA can cause neck pain, voice changes, skin burn, hematoma...

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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...

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Thyroid RFA Procedure

Thyroid RFA Procedure

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

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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...

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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...

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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...

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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...

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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...

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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...

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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...

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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...

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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...

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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...

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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...

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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...

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Thyroid No More Surgery RFA 101: Other Uses: Combined use of radioiodine therapy and radiofrequency ablation in treating postsurgical excessive thyroid remnant of differentiated thyroid carcinoma

Thyroid No More Surgery RFA 101: Other Uses: Combined use of radioiodine therapy and radiofrequency ablation in treating postsurgical excessive thyroid remnant of differentiated thyroid carcinoma

Year : 2015  |  Volume : 11  |  Issue : 8  |  Page : 244-247 Thyroid RFA 101: Other Uses:  ...

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Thyroid No Surgery 101: Radiofrequency RFA of a benign symptomatic thyroid nodule before and after treatment

Thyroid No Surgery 101: Radiofrequency RFA of a benign symptomatic thyroid nodule before and after treatment

Thyroid No Surgery 101: Radiofrequency RFA of a benign symptomatic thyroid nodule before and...

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Needle track tumor seeding after radiofrequency ablation of a thyroid tumor

Needle track tumor seeding after radiofrequency ablation of a thyroid tumor

Needle track tumor seeding after radiofrequency ablation of a thyroid tumor Chang Un Lee et al...

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Thyroid Radiofrequency Tumor Ablation RFA of Thyroid Nodules is Moving Forward at The Amercian Association of Clinical Endocrinologists AACE with a New RFA Task Force.

Thyroid Radiofrequency Tumor Ablation RFA of Thyroid Nodules is Moving Forward at The Amercian Association of Clinical Endocrinologists  AACE with a New RFA Task Force.

Thyroid Radiofrequency Tumor Ablation RFA of Thyroid Nodules is Moving Forward at The Amercian...

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What is a Core Needle Biopsy and Why Do the Koreans Recommend It for Thyroid Nodules?

What is a Core Needle Biopsy and Why Do the Koreans Recommend It for Thyroid Nodules?

What is a Core Needle Biopsy and Why Do the Koreans Recommend It for Thyroid Nodules? Comments...

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Thyroid Tumor Ablation in Korea in 2018

Thyroid Tumor Ablation in Korea in 2018

Thyroid Tumor Ablation Course in Korea in 2018 In May 2018 I have the honor of being invited to...

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Thyroid Nodules 101: Too Many Unnecessary Thyroid Biopsies without Thyroid Imaging Reporting and Data Systems (TIRADSs) were developed for thyroid nodule risk stratification.

Thyroid Nodules 101: Too Many Unnecessary Thyroid Biopsies without Thyroid Imaging Reporting and Data Systems (TIRADSs) were developed for thyroid nodule risk stratification.

Thyroid Nodules 101: Too Many Unnecessary Thyroid Biopsies without Thyroid Imaging Reporting and...

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Thyroid Tumor Ablation 101: Radiofrequency Ablation of Thyroid cysts and Benign Thyroid Nodules

Thyroid Tumor Ablation 101:  Radiofrequency Ablation of Thyroid cysts and Benign Thyroid Nodules

Thyroid Tumor Ablation 101: Radiofrequency Ablation RFA of Thyroid cysts and Benign Thyroid...

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You have a Small Micro-Papillary Thyroid Cancer and don’t want surgery and do not like the two options your physicians offer. Also do not want the cancer in your neck for long term active surveillance:

You have a Small Micro-Papillary Thyroid Cancer and don’t want surgery and do not like the two options your physicians offer. Also do not want the cancer in your neck for long term active surveillance:

You have a Small Micro-Papillary Thyroid Cancer and don’t want surgery and do not like the...

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Thyroid Tumor Ablation 101: Two Step Ethanol Ablation for Mixed Cyst Solid Benign Nodules

Thyroid Tumor Ablation 101: Two Step Ethanol Ablation for Mixed Cyst Solid Benign Nodules

Thyroid Tumor Ablation 101: Two Step Ethanol Ablation PEI for Mixed Cyst Solid Benign Nodules...

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The secret the medical profession does not want you to know is that Ethanol ablation is not painful or dangerous

The secret the medical profession does not want you to know is that Ethanol ablation is not painful or dangerous

The secret the medical profession does not want you to know is that Ethanol ablation is not...

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Why You Need Expert Second Opinion Before You Have Have Surgery for a Follicular Variant of Papillary Carcinoma. It may not be a cancer after all.

Why You Need Expert Second Opinion Before You Have Have Surgery for a Follicular Variant of Papillary Carcinoma. It may not be a cancer after all.

Baloch ZW et al Endocrine Practice 23(9) September 2017 1153-58 Images from the article...

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Super Gelatin Thyroid RFA Model for RFA Ablation Training.

Super Gelatin Thyroid RFA Model for RFA Ablation Training.

Super Gelatin Thyroid RFA Model for RFA Ablation Master’s Class Training. Using a...

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Thyroid ultrasound TI-RADS classification of low risk thyroid nodules based on a score modified according to ultrasound criteria for malignancy

Thyroid ultrasound TI-RADS classification of low risk thyroid nodules based on a score modified according to ultrasound criteria for malignancy

TI-RADS classification of thyroid nodules based on a score modified according to ultrasound...

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Thyroid RFA Workshop Teaching Methods 101: New gelatin model for ablation practice.

Thyroid RFA Workshop Teaching Methods 101:  New gelatin model for ablation practice.

Thyroid RFA Workshop Teaching Methods I preparation to the FDA approval of thyroid RFA ablation...

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Thyroid Nodule 101: What are the risk of cancer with a negative cytology but the presence of three suspicious ultrasound features?

Thyroid Nodule 101: What are the risk of cancer with a negative cytology but the presence of three suspicious ultrasound features?

Thyroid Nodule 101: What are the risk of cancer with a negative cytology but the presence of...

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Thyroid Tumor Ablation: 101: What are the causes of recurrence?

Thyroid Tumor Ablation: 101: What are  the causes of recurrence?

Recurrence of benign thyroid nodules after thermal ablation. Some major factors Larger Volume...

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Thyroid Cancer And Hashimoto’s 101: Less Cancer Lymph Nodes and More Reactive Ones

Thyroid Cancer And Hashimoto’s 101: Less Cancer Lymph Nodes and More Reactive Ones

Thyroid Cancer And Hashimoto’s 101: Less Cancer Lymph Nodes and More Reactive Ones  ...

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Thyroid And The Continuing Saga With Biotin Interference: Avoid This Supplement

Thyroid And The Continuing Saga With Biotin Interference: Avoid This Supplement

Thyroid And The Continuing Saga With Biotin Interference: Avoid This Supplement for routine hair...

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Thyroid RFA 101: Cosmetic Issues Related to a Big Benign Goiter Nodule Treated Without Surgery

Thyroid RFA 101: Cosmetic Issues Related to a Big Benign Goiter Nodule Treated Without Surgery

Thyroid RFA 101: Cosmetic Issues Related to a Big Benign Goiter Nodule Treated Without Surgery...

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Thyroid RFA 101: Radiofrequency ablation for the management of thyroid nodules: A critical appraisal of the literature

Thyroid RFA 101: Radiofrequency ablation for the management of thyroid nodules: A critical appraisal of the literature

Thyroid RFA 101: Comments: This is a good review of thyroid RFA for benign nodules Thyroid RFA...

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A Third Way to Treat Small Thyroid Neoplasms Beside Surgery or Active Observation for Years: Radiofrequency Ablation RFA

A Third Way to Treat Small Thyroid Neoplasms Beside Surgery or Active Observation for Years: Radiofrequency Ablation RFA

A Third Way to Treat Small Thyroid Neoplasms instead of Surgery or Active Observation for Years...

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Nodular Goiter 101: How does one get a goiter?

Nodular Goiter 101: How does one get a goiter?

Nodular Goiter 101: How does one get a goiter? Iodine deficiency in some countries, Low level...

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Hashimoto’sThyroiditis CHT 101: The First sign may be a firm “bumpy” thyroid on examination.This is conformed by thyroid ultrasound

Hashimoto’sThyroiditis CHT 101: The First sign may be a firm “bumpy” thyroid on examination.This is conformed by thyroid ultrasound

Hashimoto’s Thyroiditis CHT 101: The First sign may be a firm “bumpy” thyroid on...

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Say NO to Routine Thyroid Cancer Screening

Say NO to Routine Thyroid Cancer Screening

Say NO to Routine Thyroid Cancer Screening by thyroid ultrasound.   Do not let your primary...

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