Thyroid RFA is now approved for treatment of thyroid nodules in the USA I am doing a study with 80 patients for safety and effectiveness to be done in an endocrine office practice.Thousands of patients in Europe and Asia have had...
More infoEfficacy and Safety of Thyroid RFA for autonomous functioning thyroid nodules AFTN. Dr.Guttler’s comments: 411 AFTNs treated by thermal ablation in 391 patients in 14 studies. TSH normalization was achieved in 71.2% of...
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Nodule AFTN Treatment with radiofrequency ablation RFA vs Radioiodine therapy RAI. DR.Guttler’s comments: The RAI group had patients develop hypothyroidism needing life time thyroid hormone replacement. 5/25 patients developed clinical...
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Thyroid No Surgery or Radiation for Autonomous Functioning Thyroid Nodules AFTN: Radiofrequency Ablation should be the treatment of choice in 2021. Dr.Guttler’s Comments: Until recently the treatment for toxic or AFTN’s was surgery or...
More infoCase Finding Screening of First Degree Relatives of Patients with Hashimoto’s Thyroiditis. THYROID Published Online: 19 Mar 2021 https://doi.org/10.1089/thy.2020.0213 Familial Risk of Hashimoto’s ThyroiditisAmong First-Degree Relatives: A...
More infoDr.Guttler’s Comments; Overview of DLBCL diffuse large B-cell lymphoma and MALT Lymphoma (mucosa-associated lymphoid tissue lymphoma ). All other types are rare in the thyroid. Lymphoma Prevalence DLBCL, > 50% MALT (10–23%) Clinical...
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Thyroid No Surgery: Rare Thyroid Lymphoma Presents with Enlarging Goiter After Years of Hashimoto’s Thyroiditis CHT Dr.Guttler’s comments: In 46 years of my thyroidology practice I have diagnosed only a few thyroid lymphomas in my...
More infoDR.Guttler’s Comments 1. This article explains the need for standby ice cold 5% dextrose during RFA treatments for thyroid nodules and cancer. 2. Aborting the treatment at the first sign of voice change and injection of dextrose can...
More infoIn 2021 even the Academic Surgeons are Considering Thyroid RFA for thyroid nodules in stead of surgery. Ralph Tufano, M.B.A., M.D. His quote off the Johns Hopkins Website. “A newer alternative that the doctor can use to treat benign nodules...
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More Evidence For the Use of Thyroid thermal ablation for Micro-papillary Thyroid Cancer: It can replace surgery or active surveillance in selected patients. Ultrasound Image of a patient’s micro-papillary cancer before RFA ablation...
More infoActive surveillance AS of low-risk papillary thyroid cancer: 2100/4200 patients opted for surgery in this study! How many would opt out of surgery and switch to radiofrequency ablation if it was offered as a third alernative to AS?...
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Cost-effectiveness of active surveillance AS versus hemithyroidectomy for micropapillary thyroid cancer. What about comparing thyroid radiofrequency ablation to AS? Dr.Guttler’s comments: At present the patient with a micropapillary cancer...
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