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: 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
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
Thyroid Disease 101: Toxic Chemicals in Dental floss may cause thyroid disease. PFAS called PFHxS (perfluorohexanesulfonic acid) found in Oral-B Glide dental floss. PFAS are water- and grease-proof substances that have been linked with...More info
Thyroid Hormone Therapy 101: Beware of All Generics. Dr.Guttler’s Comments: FDA Announced Recall of Two Different Thyroid medications. levothyroxine and liothyronine made in China. These tablets might contained adulterants or contaminants...More info
Thyroid Surgery Readmission Database: 23,000 thyroid surgeries in 2014 The indications for the surgeries were too broad. Benign thyroid nodules causing symptoms should not have surgery with less invasive alternatives exist in 2019. Cystic and...More info
Thyroid No surgery 101: Readmission After Unnecessary thyroid surgery just as likely as finding cancer.
Thyroid No Surgery 101: Readmission After Unnecessary thyroid surgery just as likely as finding cancer ( 4-5% ). Thyroid Removal Can Trigger Risky Side Effects Dr.Guttler’s comments: Readmission (4%) after thyroid surgery can occur when the...More info
DR.Guttler’s Published Video on PEI for thyroid cysts and cancer lymph node VideoEndocrinologyVol. 1, No. 2 Percutaneous Ethanol Injection for Thyroid Cancer Neck Nodal Recurrences and Thyroid and Parathyroid Cysts Richard Bruce Guttler...More info
Read Dr.Guttler’s recent article Mark Lupo, Richard Guttler, Zsofia Geck, Theresa R. Tonozzi, Anja Kammesheidt, and Glenn D. Braunstein (2018) IS MEASUREMENT OF CIRCULATING TUMOR DNA OF DIAGNOSTIC USE IN PATIENTS WITH THYROID NODULES?...More info