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
Thyroid No surgery 101: Diagnostic Endocrine Neck Ultrasound in Small Thyroid Nodules World J Surg. 2017 May 24. Peng Y et al Comments: We use taller than wide calcifications and blood flow as criteria for suspicious nodules but...More info
Thyroid No Surgery 101: How to Avoid Unnecessary Testing, Biopsies and Surgery Refuse a thyroid ultrasound if requested by your physician if he or she can not give you an indication that it is really needed. Indications are a palpable nodule...More info
Editorial to Endocrinologists: Don’t Let Radiologists Take Control of Thyroid Tumor Ablation of Nodules and Cancer.
Editorial to Endocrinologists: Don’t Let Radiologists Take Control of Thyroid Tumor Ablation of Nodules and Cancer. Since 1970’s I have seen endocrinologists slowly lose control of areas of medicine that could have resulted in a...More info
Thyroid Tumor and Nodule Radiofrequency Ablation RFA 101: What Can We do For You Now to Save an Unnecessary or Another Thyroid Surgery?
Thyroid Tumor and Nodule Radiofrequency Ablation RFA 101: What Can We do For You Now to Save an Unnecessary or Another Thyroid Surgery? Thyroid RFA is presently not available in the US or Canada. This is a tragic situation considering every major...More info
You have a Small Micro-Papillary Thyroid Cancer and don’t want surgery and do not like the two options your physicians offer. Also do not want the cancer in your neck for long term active surveillance:
You have a Small Micro-Papillary Thyroid Cancer and don’t want surgery and do not like the two options your physicians offer. Also do not want the cancer in your neck for long term active surveillance: Percutaneous Ethanol Injection PEI for...More info