Case history: 52 Y/O female with enlarging nodule and symptoms of tightness and does not like the bulging of the nodule that seen by others.She was depressed about the looks of visible nodule. Her depression increased when told she needed...More info
Thyroid No Surgery: Why You Need a Second Opinion Before You have Thyroid Surgery: You may not need it!
Thyroid No Surgery: Why You Need a Second Opinion Before You have Thyroid Surgery: You may not need it! Stephanie in New York came to see me before she was on the list for thyroid surgery. DR.Guttler’s Comments: This patient’s story...More info
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...More info
Thyroid Nodules 101: Don’t Want Surgery? OK but Don’t Wait to Have Alternative Therapy Until it Is Too Late!
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...More info
Total Thyroidectomy For Hashimoto’s (CHT) Persistent Symptoms? Don’t Believe This Article. Dr.Guttler’s comments: Removing the thyroid gland in CHT is only done with rare cases of severe pain. Non-specific symptoms should not be...More info
Parathyroid Cysts 101: They Can Be Anywhere Even in the thyroid gland and down into the chest. Dr.Guttler’s comments: Parathyroid Cysts are rare but I have seen 10 cases in my practice. I have treated larger ones and ones with symptoms with...More info
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...More info
Thyroid Nodules 101: What happens if you have a thyroid nodule? Dr.Guttler’s comments: You might be looking in the mirror while shaving or fastening a necklace when you first see it. The doctor might feel it during a routine physical exam...More info
Thyroid No Surgery 101: Patients Who Did Not Want Surgery and Came to Me for Alternative therapy with Ethanol PEI or Radiofrequency Ablation RFA for their Benign Thyroid Nodules.
Thyroid No Surgery 101: Benign Thyroid Nodules and Goiters. Patients Who Did Not Want Surgery and Came to Me for Alternative therapy with Ethanol PEI or Radiofrequency Ablation RFA. Just a few of my cases pre-treatment pictures. All had either...More info
Thyroid Nodules 101: Alternative Therapy with Ethanol PEI Dr.Guttler’s comments: PEI for thyroid nodules has been available in the US for many years but is under-utilized as an effective alternative to thyroid surgery Primary care to...More info
Thyroid Cancer Alternative Therapy 101: Percutaneous Ethanol Injection PEI vs Re-operation for Locally Recurrent Papillary Thyroid Cancer
Thyroid Cancer Alternative Therapy 101: Percutaneous Ethanol Injection PEI vs Re-operation for Locally Recurrent Thyroid cancer . Tatyana E. Fontenot,et al JAMA Otolaryngol Head Neck Surg. 2015;141(6):512-518. Dr.Guttler’s...More info
Thyroid Cyst Therapy PEI 101: Treating Thyroid Cysts at Home. 35 Y/O female with a benign cystic thyroid nodule was told she needed surgery. Benign thyroid cyst seen on thyroid ultrasound She did not want surgery and was unable to find an...More info