Active Surveillance for Micro-Papillary thyroid cancer 101: Macrocalcifications and Young Age <50 associated with rapid tumor doubling time. Dr.Guttler’s Comments 1. TVDT is a good indicator for presenting the growing velocity of PTCs...More info
Thyroid Nodules No Surgery: 3-5 years after Thyroid Ethanol PEI or Radiofrequency Ablation RFA. Dr.Guttler’s comments: 1. Benign thyroid nodules in 2019 do not need to be treated by invasive thyroid surgery. 2. Cystic nodules > 50%...More info
Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery First always question your physician as to why they want a thyroid ultrasound TUS. There should be no screening thyroid ultrasounds. There must be indications for one. If you have a...More info
Thyroid Cancer 101: You have a Small Papillary thyroid Cancer You could be a candidate for No Surgery just active followup.
Thyroid Cancer 101: You have a Small Papillary thyroid Cancer. You could be a candidate for No Surgery just active surveillance followup AS. Dr.Guttler’s Comments: Risk based on size, location inside the thyroid gland, patient’s age...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
Small Papillary Thyroid Cancers 101: Ethanol Ablation PEI is an Alternative to Surgery or Active Surveillance.
Percutaneous ethanol PEI effective for small papillary thyroid cancers SIPC. Small non-invasive papillary thyroid cancer for PEI. Alternative to surgery Dr.Guttler’s comments: PEI is an outpatient procedure which may represent 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 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 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
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: Third World Thyroid Cancer Congress II : What did We learn about thyroid cancer surgery??
Thyroid Cancer 101: Third World Thyroid Cancer Congress II : What did We learn about thyroid cancer surgery? The key finding reported was the decline in surgery for primary therapy of papillary micro-cancers. “Less is more” is also...More info
Thyroid No Surgery for Small Thyroid Cancers The Art of Refusing a Surgery for a Small Micro-Papillary Thyroid Cancer It a patient is told they have cancer it can be nervous time for sure. However, not all cancers are the same. One type called...More info