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
Active Thyroid Cancer Surveillance AS 101: How to keep your thyroid without surgery for micro-papillary cancers.
Active Thyroid Cancer Surveillance AS 101: How to keep your thyroid without surgery for micro-papillary cancers. A study from Korea. Oh et al Thyroid 28(12) 2018 1587 Dr.Guttler’s Comments Tumor volume is a better index or growth...More info
Thyroid cancer 101: Because thyroid cancer is not usually fatal, the findings suggest that physicians sometimes offer unnecessary testing to avoid being sued.
Thyroid cancer 101: Because thyroid cancer is not usually fatal, the findings suggest that physicians sometimes offer unnecessary testing to avoid being sued. Dr.Guttler’s Comments. Most of the extra cases of thyroid cancer recently are...More info
Patient’s comments after my thyroid consultation for her very large Goiter. “You were the most professional Dr. I have ever seen. You were able to do all the tests quickly and spent a lot of time making sure everything was done...More info
Thyroid Cancer 101: Champion of Less Treatment for Low Risk Thyroid Cancer. Endocrine Society Outstanding Scholar 2018 Ian Hay Ian Hay is my role model. He has been a strong voice in getting the physicians to decrease the treatment needed for low...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 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 cancer 101: Do Not Go to Thyroid Surgery for thyroid cancer without a neck ultrasound. It can save you from going back later to get the lymph nodes present before the first surgery.
Thyroid cancer 101: Do Not Go to Thyroid Surgery for thyroid cancer without a neck ultrasound. It can save you from going back for another surgery later to get the lymph nodes present before the first surgery. Dr.Guttler’s comments: 1...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