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
Thyroid No Surgery 101: Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery. Rules: Never have thyroid surgery when told you have thyroid cancer without outside second opinion first. Why? One if it is small and located entirely inside your...More info
Thyroid Cancer 101: Why with thyroid cancer awareness week you should not get thyroid cancer screening.
Thyroid Cancer 101: Why with thyroid cancer awareness week you should not get thyroid cancer screening. Dr.Guttler’s comments on this thyroid cancer awareness week article. 1.Thyroid cancer has actually seen an increase in frequency of...More info
Thyroid Nodule 101: Patients Over 70 Years Old. Why Operate Comments by Dr.G. 1. 1200 > 70 year old patients with 2600 nodules. 2. 67 % of nodules were benign. 3. FNA lead to surgery in 210 patients and 93/210 were benign. 4. ...More info
Thyroid Cancer 101: Why You Need An Expert Second Opinion Before Surgery DR. Guttler’s comments on this article. 1.Primary care practitioners should introduce patients to the idea that not all cancers threaten life, while cancer doctors...More info
What About Radiofrequency Ablation RFA for Your Thyroid Nodule or Thyroid Cancer? Still Not Happening in the USA or Canada. Why? The Korean companies making the RFA systems for thyroid ablations has dropped the ball when it comes to the US...More info
Thyroid Microcancer 101: What we learned from the Japanese Studies. Thyroid 28(1) 2018: p.23 Miyauchi A. et al Dr.Guttler comments on this article. 1.10 years on 1235 patients 2. Only 8 % grew > 3mm. 3. Only 4% had node metastaic disease in...More info
Thyroid Cancer 101: Active Surveillance AS: What is It and Can I Be Treated by Just Follow up examinations without extensive thyroid surgery?
Thyroid Cancer 101: Active Surveillance What is It and Can I Be Treated by Just Follow up examinations without surgery? Comments by Dr.Guttler. The Japanese experience is quite positive for AS but the population in Japan is different than the...More info
What are the Benefits and Risks of Thyroid Nodule Evaluation in Patients ≥70 Years Old. Comments by Dr.G. 1.1200 > 70 year old patients with 2600 nodules. 2. 67 % of nodules were benign. 3. FNA lead to surgery in 210 patients and 93/210 were...More info
Primary Care Physician’s 2018 Thyroid Patient Care Resolutions. Resolve to consider thyroid disease as a complicated area that requires consultation with expert endocrinologists. Don’t try to treat the patient without a consultation...More info
Thyroid Cancer No Unneeded Surgery 101; Low Risk= No or Less Surgery DR.G comments on this review article on low risk papillary thyroid cancers Juan P Brito et al BMJ 2014; 348 https://doi.org/10.1136/bmj.g3045 1.Patients with these small...More info