Thyroid 101: Always Get a Second Expert Opinion Before Surgery or Radiation for “thyroid Cancer”. Dr.Death’s Quackery, and Rush to Surgery By Surgeons is to Be Avoided. DR.Guttler’s Comments: This is a wake up call to all...
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Thyroglossal Duct Cyst 101: Ethanol Ablation: Safe Treatment Without Surgery and No Scar! Dr.Guttler’s comments: A biopsy was done to confirm the benign nature of the TGD cyst. 11 patients with TGDC were treated. The initial volume of the...
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How to Become An Endocrinologist Doing Their Own Biopsies and Ethanol and Radiofrequency Ablation Procedures. RFA is approved in the USA and clinical trials are on-going. Learn two basic new methods to save your patients from unnecessary thyroid...
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Massive Thyroid Cystic Nodular Goiter Seen in 2019 to large for either ethanol or Radiofrequency ablation.. 900 cc cystic thyroid nodule after removal of 725 ml brown fluid. As it grew bigger the patient refused to consider surgery and looked for...
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Reasons to Insist on an Endocrinologists to evaluate and if needed do the thyroid needle biopsy. DR. Brittany Henderson endocrinologist does over 100 biopsies a year. Dr.Guttler’s List: Your primary is not qualified to do a complete...
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Hashimoto’s ( CHT ) Nodules and Thyroid Cancer 101: Increased Risk with Nodules in CHT. Goiter in CHT which could harbor a thyroid cancer. Read below. Dr.Guttler’s Comments: 1. CHT can make...
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Thyroid Nodules 101: Just like Real Estate Location,Location,Location. DR.Guttler’s Comments: The thyroid nodule location within the thyroid gland can be a predictor of a thyroid cancer nodule. Zhang F et al in Endo Practice 25(2)...
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Thyroid Cancer 101: Papillary Thyroid Cancer in Three Sisters Dr.Guttler’s comments: Three sisters raised in New York state were each diagnosed with thyroid cancer, all in a relatively short period of time. The sisters are now concerned...
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Ethanol Ablation PEI Can Treat Solid and Cystic Nodules. 26-year-old woman with solid thyroid nodule. Sonogram obtained before PEI shows solid nodule in right thyroid lobe (volume, 3.8 cm3). 26-year-old woman with solid thyroid nodule. Sonogram...
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Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery First always question your physician as to why they want a thyroid ultrasound TUS. There should be no screening thyroid ultrasounds. There must be indications for one. If you have a...
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Parathyroid Adenoma 101: Where is It? Dr.Guttler’s comments: 61 Y/O F during an evaluation for a kidney transplant a very high PTH was noted 1900 pg/ml N was noted. A parathyroid scan showed uptake in the chest by arrow. 99mTc sestamibi was...
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DR.Guttler’s comments. 43 Y/O F one month right arm and shoulder pain with weakness and tingling in the arm.She had no neck symptoms and no enlarged thyroid gland in the neck area. X Ray of the shoulder showed a mass in the chest by arrow...
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