Hashimoto’s Thyroiditis CHT 101: What do I need to Know? If you have hypothyroidism and you did not have surgery or radiation therapy you most likely have CHT. CHT is the most common cause of hypothyroidism. If you have had hypothyroidism for...More info
Hashimoto’s Thyroiditis 101: Thyroid Ultrasound Appearance US features Hashimoto’s thyroiditis. The US appearance is highly variable and correlates with the progression of histopathologic changes along the course of the disease. The lymphoid and...More info
Thyroid Goiter and Nodules 101: What you need to Know Part Two: Treatment alternatives. Most small goiters without symptoms or nodules do not need treatment if there is no associated hypothyroidism from Hashimoto’s thyroiditis. Goiters...More info
Thyroid Goiter and Nodules 101: What you need to Know. A swelling in the neck due to an enlarged thyroid gland is called a goiter. Worldwide, the most common cause of thyroid goiter is iodine deficiency. However, this is becoming a rarer...More info
Routine Thyroid cancer screening by ultrasound? You should say No Unless you have a first degree relative with thyroid cancer. Familial non-medullary thyroid papillary thyroid cancer FNMPTC is an indication to screen. Unless you have relatives...More info
Thyroid No Surgery 101: Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery for a diagnosis of thyroid cancer by biopsy. Update:
Thyroid No Surgery 101: Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery for a diagnosis of thyroid cancer by biopsy. Two Concepts: Active Surveillance and NIFT-P Never have thyroid surgery when told you have thyroid...More info
Thyroid No Surgery 101: Cold Dextrose infusion Helps Recovery from nerve damage during thyroid RFA for benign thyroid nodules.
DRt.Guttler’s comments: THyroid RFA is safe with few serious complications out of thousands of patient treatments. 1. 17 patients had issues with nerves during thyroid RFA. 2. If there were issues during the Procedure cold dextrose...More info
Thyroid No surgery 101:Radiofrequency ablation RFA for benign thyroid nodules according to different US features: an Italian multicentre prospective study.
Thyroid No Surgery 101: Dr. Guttler’s comments: 1. 340 patients with solid benign nodules. 2. 21 ml volume decreased to 6 ml by 12 months. 3. Spongiform nodules responded the best with 76 % reduction. 4. Other patterns decreased less at ...More info
Thyroid Biopsy 101: Thyroid FNA cytology yields an indeterminate result for about 20% of nodules, preventing a definitive diagnosis and hampering patient management.
Thyroid Biopsy 101: Thyroid FNA cytology yields an indeterminate result for about 20% of nodules, preventing a definitive diagnosis and hampering patient management. Dr.Guttler’s Comments on this article: Do Not Go to Surgery with...More info
Thyroid No Surgery: Thyroid Cystic Disease Can be Treated Without Surgery in my Office by PEI. Ethanol Ablation PEI is the treatment of Choice. How many times will you have it drained and refuse surgery before you come to see me for PEI? Case...More info
Artificial intelligence AI enhances diagnostic accuracy of thyroid cancer: Dr.Guttler’s Comments: AI helps radiologists detect thyroid cancer in China.130000 training set thyroid images were used from 25,000 cases. AI was shown to be just...More info
What you need to know about when to get help from outside consultants before surgery. Dr.Guttler’s opinion: When there is a question about if you need a thyroid ultrasound. Doing one when it was not indicated can cause you to get a biopsy...More info