Too Many Thyroid Biopsies Result in Too Many Thyroid Surgeries: What To Do About? DR.Guttler’s comments: The prevalence of thyroid nodules in the general population is increasingly high. At least half of those biopsied prove to be benign...
More info
Hashimoto Thyroiditis Effect 0n Thyroid Nodule Cytology and Risk of Thyroid Cancer Dr.Guttler’s comments: A prospective of cohort analysis of 9851 consecutive patients with 21,397 nodules ≥1 cm who underwent nodule evaluation between 1995...
More info
RFA vs Microwave ablation in thyroid nodules. Large #16 gauge antenna used in MWA. Too long, thick and bulky to be used by most endocrinologists . Small short 7cm #19 gauge electrode for work in the neck. DR.Guttler’s comments...
More info2nd International Meeting on Thyroid Ultrasound Guided, Minimally Invasive Therapies January, Fri-Sat 21-22, 2022 – Barcelona, Spain First-class experts will chair outstanding speakers who will present the state-of-the-art of all...
More info
Patient with a Large Neck Cyst with Choking and Pressure Symptoms. Told to Have Surgery. The patient refused surgery and sought alternative treatment. 35Y/O M with 6 months of progressive neck symptoms. Examination of the neck only found a soft...
More info
High-intensity focused ultrasound ablation as a treatment for benign thyroid diseases: the present and future. Dr.Guttler’s Comments. 1. The fact that it does not require insertion of a needle into the target makes HIFU a truly non-invasive...
More info
Micro-papillary thyroid cancer treated with Microwave ablation. Dr.Guttler’s Comments: 1. 168/311 underwent microwave ablation (MWA). 143 had surgery. 2. Even though the cancers were small they need extensive hydrodissection during...
More info
Why the Higher Unfavorable Prognosis in Males with Papillary Thyroid Cancer? Dr.Guttler’s comments. 1. 7 genes involved in the viral process in male patients showed a significantly differential expression between PTC and normal tissue. 2...
More info
Quality of Life for Patients with Micro-Papillary Thyroid Cancer MPTC. Endocrine Practice 26(12) December 2020 1451-57 Nakamura T. et al Dr.Guttler’s comments They only compared immediate surgery vs active surveillance. 347 low risk MPTC...
More info
Large Thyroid Nodules Have a Low Risk of Cancer. Why do Surgeons Rush off to Surgery When Radiofrequency Ablation RFA is Safe and is Minimally Invasive. Article: The risk of Thyroid Cancer with Large Nodules 3 cm or larger is Low. Endocrine...
More info
Online Course for Thyroid Physicians to Learn the Basic Skills Needed to Add Thyroid Radiofrequency Ablation RFA to Their Office Practice. With the pandemic in full swing traveling to my center to take part in the hands on workshop is difficult...
More infoDR.Guttler’s comments: Parathyroid cysts are best treated with ethanol ablation. Cystic parathyroid adenomas with a solid component can be treated best with radiofrequency ablation as the cyst fluid defuses the heat production as the solid...
More info