Thyroid No Surgery 101: Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery Rule 3: The patient found my website when looking for ways to avoid surgery recommended by her local physicians. She had a large complex benign cyst that was...More info
Thyroid No Surgery 101: Dr.Guttler’s Rule 2 to Avoid Unnecessary Thyroid Surgery. 2. There are alternatives to “full blown thyroidectomy and a lifetime of thyroid hormone therapy” ( quote from my patient) that I sent to Korea...More info
Thyroid Nodule 101: Patient Yelp Review of Massive Benign Thyroid Nodule Treated with Ethanol PEI and Radiofrequency RFA Ablation.
Dr.Guttler’s comments on this review of my treatment of an unusual patient with a massive goiter nodule. The size was a problem.Usual treatment for very large benign nodule is surgery. Patient was against removal and did not want to have to...More info
Thyroid Cyst Treatment 101: How Simple Can it Be to Save You From Surgery? Your physician tells you your nodule is cystic on the ultrasound. Ask him is the fluid >50% of the nodule? If yes you are on the way to having easy outpatient ethanol...More info
Thyroid Cysts 101: Ethanol Treatment is Not Dangerous. Dr.Guttler’s comments: Patients call me to ask about ethanol ablation. They were told it was painful and dangerous with complications by their primary local...More info
Primary Micro-Papillary Thyroid Cancers 101: There are Three Options. Ultrasound of a small papillary cancer well contained in the lobe. Dr.Guttler’s comments: Surgery was always the first option for thyroid cancers. However, < 1.5 cm...More info
Recurrent Thyroid Cancer 101: How Ethanol Ablation PEI Can Save You from Another Hospital Stay for a Repeat Neck Dissection Thyroid Surgery.
Recurrent Thyroid Cancer 101: How Ethanol Ablation PEI Can Save You from Another Hospital Stay for a Repeat Neck Dissection Thyroid Surgery. Thyroid cancer in Lymph nodes in the neck are local spread not distant spread. You have several options...More info
Thyroid and Parathyroid Cysts 101: Ethanol Ablation PEI, Treatment of Choice is Still Not Done Enough In the USA
Thyroid and Parathyroid Cysts 101: Ethanol Ablation PEI, Treatment of Choice is Still Not Done Enough In the USA. Before PEI After PEI Ultrasound image of a cystic thyroid nodule Dr.Guttler’s Comments: PEI for cystic nodules has been...More info
Thyroid MicroCancer 101: TCCC Member Richard Guttler’s Non-Surgical Options. Focus of practice is to find alternative methods to prevent unnecessary thyroid surgery. First was needle biopsies to decrease surgery on benign nodules, then...More info
For Patients For Physicians For Researchers Richard B. Guttler, MD SPECIALTY: Endocrinology TELEPHONE: 310-393-8860 About Dr. Guttler Doctor Guttler is a clinical thyroidologist and interventional radiologist who practices in Los Angeles...More info
Thyroid Cancer 101: The Scarlet Letter Big C Tattoo to the Blue Letter b tattoo. Looks like Papillary Thyroid Cancer but it is Not Cancer.
Thyroid Cancer 101: Looks like Papillary thyroid Cancer but it is Not Cancer. The Scarlet Letter Big C Tattoo to the Blue Letter b tattoo. Dr.Guttler’s comments: 31 rules to live by to avoid lifetime thyroid cancer diagnosis. 1.Thyroid...More info
Thyroid Surgery 101: Maybe not everything! Dr.Guttler’s comments: Limited information in this article. 1.A thyroid nodule should not be removed if it proves to be benign by cytology and molecular marker testing. 2. Indeterminate biopsy...More info