Thyroid Cancer 101: Never have radiation therapy for thyroid cancer without outside second opinion. Dr.Guttler’s comments: There is a very long tail to any treatment with radiation. Years later the patient can have secondary cancers after...More info
Thyroid No Surgery 101: Are You a Candidate for An Alternative Treatment to Thyroid Surgery? When you have a large nodule even if the biopsy was benign, there is a push by local physicians to recommend thyroid surgery as the only option. However...More info
Massive Thyroid Cystic Nodular Goiter in 2019. Papillary thyroid cancer diagnosed 10 years ago! Tried chemotherapy that failed. Came to me for Ethanol ablation. Left Massive thyroid cystic nodule on the right after Surgery. Came to me as last...More info
Active Surveillance for Micro-Papillary thyroid cancer 101: Macrocalcifications and Young Age <50 associated with rapid tumor doubling time.
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
Toxic Nodular Goiters 101: Alternatives to Surgery and Radioiodine with Antithyrioid Drugs and Ethanol and Radiofrequency Ablation.
Toxic Nodular Goiters 101: Alternatives to Surgery and Radioiodine with Anti-thyrioid Drugs, Ethanol and Radiofrequency Ablation. DR.Guttler’s comments: Toxic nodular goiter and autonomous functioning thyroid nodules AFTNs are commonly sent...More info
Thyroid Cancer 101: Most Q of L Issues Come from Surgery Complications and Radioiodine Therapy Dr.Guttler’s comments: 1. There are many reasons to get second opinions before your thyroid surgery of radioiodine therapy for thyroid cancer. 2...More info
Case history: 52 Y/O female with enlarging nodule and symptoms of tightness and does not like the bulging of the nodule that seen by others.She was depressed about the looks of visible nodule. Her depression increased when told she needed...More info
Thyroid No Surgery: Ethanol Ablation instead of Surgery. One Patient’s Review. Mary B. Valencia California In her own words 8/9/2018 “I went to see Dr. Guttler with a large fluid filled cyst/nodule on my thyroid. All the doctors I...More info
Thyroglossal Duct Cyst 101: Ethanol Ablation: Safe Treatment Without Surgery and No Scar! Dr.Guttler’s comments: A biopsy was done to confirm the benign nature of the TGD cyst. 11 patients with TGDC were treated. The initial volume of the...More info
How to Become An Endocrinologist Doing Their Own Biopsies and Ethanol and Radiofrequency Ablation Procedures.
How to Become An Endocrinologist Doing Their Own Biopsies and Ethanol and Radiofrequency Ablation Procedures. RFA is approved in the USA and clinical trials are on-going. Learn two basic new methods to save your patients from unnecessary thyroid...More info
Thyroid Nodules 101: Don’t Want Surgery? OK but Don’t Wait to Have Alternative Therapy Until it Is Too Late!
Massive Thyroid Cystic Nodular Goiter Seen in 2019 to large for either ethanol or Radiofrequency ablation.. 900 cc cystic thyroid nodule after removal of 725 ml brown fluid. As it grew bigger the patient refused to consider surgery and looked for...More info
Endocrinologists Doing Their Own Thyroid Needle biopsies Can Add New Procedures to their Bottom Line.
Endocrinologists Doing Their Own Thyroid Needle biopsies Can Add New Procedures to their Bottom Line. Over the last 40 years I have pioneered new procedures to enhance patient care for those with thyroid goiters,nodules and cancer. Office based...More info