Endocrinologist in Master’s class doing cyst ethanol ablation on models. Large symptomatic thyroid complex cystic nodule treated with PEI. Paper on Parathyroid cysts treated with ethanol at national end rice meeting. My first and only Wild...More info
Dr.Guttler’s Life 101: Pictures from 2011 Presenting Ethanol paper atNational meeting 1000 meter rifle range in Michigan Lake Northern Pike Master Class endocrinologist doing a radioiodine uptake test. Endocrine neck ultrasound class...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 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
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: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
DR.Guttler’s Published Video on PEI for thyroid cysts and cancer lymph node VideoEndocrinologyVol. 1, No. 2 Percutaneous Ethanol Injection for Thyroid Cancer Neck Nodal Recurrences and Thyroid and Parathyroid Cysts Richard Bruce Guttler...More info
Thyroid Nodules and Cancer 101: Does Size Matter? Yes, except when it does’t. Dr.Guttler’s Comments: Thyroid No Surgery for this large benign symptomatic thyroid nodule. Treated by ethanol ablation PEI. Cyst fluid removed and ablation...More info