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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Thyroid Cancer Surgery 101: Less is More. Don’t get talked into a total thyroidectomy when a lobectomy will do fine. Dr.Guttler’s comments: 1-4 cm papilllary thyroid cancer can be treated with lobectomy alone. Disease free survival is...
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Thyroid Cancer 101: You have a Small Papillary thyroid Cancer. You could be a candidate for No Surgery just active surveillance followup AS. Dr.Guttler’s Comments: Risk based on size, location inside the thyroid gland, patient’s age...
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Thyroid Cancer 101: Why you need a complete neck evaluation before the cancer surgery to prevent persistent disease post surgery. Dr.Guttler’s comments: 20 % of thyroid cancer patients have disease events after the original treatment. These...
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Thyroid Surgery 101: Why Your Quality of Life is Decreased with Unnecessary Thyroid Surgery. Patients diagnosed with differentiated thyroid cancer (DTC), particularly those who underwent total thyroidectomies vs hemithyroidectomies, report a wide...
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Recurrent Cystic papillary thyroid cancer in a neck lymph node after prior neck dissection surgery for ablation with ethanol PEI. Thyroid Micropapillary cancer candidate for active surveillance or ablation by P{EI or RFA instead of surgery. Shoe...
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Thyroid No Surgery 101: What is it worth to not have surgery and a neck scar treating your benign thyroid nodule? 2 years after ethanol ablation PEI. Large left nodule is reduced to 2% of the original size. 40 Y/O female with a large benign...
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Master’s class training for RFA ablation using a turkey breast. Endocrinologist student in master’s class working on free hand needle placement. Thyroid Benign cyst treated with ethanol PEI. Cyst fluid removed on the patient above and...
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Thyroid cyst in the middle of her neck. No symptoms but a cosmetic problem for the patient. Visited Modena Italian Balsamic Vinegar production in an old castle. Aged for 100 years. Radiofequency Ablation RFA training in Reggio Emilia. Ultrasound...
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Endocrinologist in Master’s class doing cyst ethanol ablation on models. Large symptomatic thyroid complex cystic nodule treated with PEI. Paper on Parathyroid cysts treated with ethanol at national end rice meeting. My first and only Wild...
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