Dr.Guttler in Pictures: 2017

Dr.Guttler in Pictures: 2017

Dr.Guttler in Pictures: 2017

This little vial of ethanol has been used to treat many patients with benign complex cystic nodules and saved the patients a hospital stay, thyroid surgery, post op recovery, lost work, and the expense and complications associated with that surgery.

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She had trouble swallowing with this nodule which was also ugly to her eye. PEI made symptoms and cosmetic problem disappear.

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This is why a second biopsy is needed to find the papillary ca on the wall of the cyst before you have PEI. Surgery is the main therapy for cystic papillary ca.

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RFA system for treating thyroid nodules. It looks dangerous but it is proven safe and effective at ablating benign thyroid nodules and cancer lymph nodes.

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RFA hot tip is very small and is moved around in the nodule to ablate it.

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Post RFA the ultrasound shows the black area of ablation.

 

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