Implications of RFA for patients undergoing thyroid surgery form benign disease in the USA. Surgery 2021 Kim et al July 22 2021 The number of patients who had thyroid surgery in this study who were eligible for alternative RFA therapy was...More info
LeClair K, et al. JAMA Intern Med. 2021;doi:10.1001/jamainternmed.2021.4804. DR.Guttler’s Comments: Women should be aware that many of these small thyroid cancers that come to attention in the absence of symptoms or evidence of...More info
Why Don’t the Physicians Ever Recommend Thyroid RF to the Patient with Micro-Papillary Thyroid Cancer?
This is a letter from a patient told to have surgery asking me about thyroid RFA. The physicians caring for her never mentioned approved alternative therapy. They did not even mention active surveillance. “What is considered a low risk...More info
In 2013 Richard Guttler began the training and use of thyroid RFA for thyroid nodules in Italy. He returned and began using 3 different RFA systems to begin to understand how RFA could help his thyroid patients with benign nodules avoid surgery...More info
The American Thyroid Association has accepted our abstract on the results of 3 endocrine practice’s office based (OB) thyroid nodule RFA ablation. It will be presented at their 2021 national meeting. Dr. Kathleen Hands in Texas Brian...More info
Lobectomy unless necessary will usually result in Life Time Thyroid Hormone Replacement. Consider Alternatives Such As Ethanol or Radiofrequency Ablation.
Endocrine Practice 27 ( 2021) page 691-97 Schumm M. et al Dr.Guttler’s Comments: Post lobectomy TSH of 87 115 patients had TSH >2. Older patients should think twice about a lobectomy unless necessary. Pre-lobectomy TSH > 1.8 was a...More info
Thyroid Cancer No Surgery: Patient Reaction to the diagnosis of possible or definite thyroid cancer.
Patient Reaction to the diagnosis of possible or definite thyroid cancer. Thyroid 31(4)2021 S.Pitt et al DR.Guttler’s comments: 85 patients interviewed before thyroid surgery. Many had 1 cm nodules. Initial shock anxiety, fear, and strong...More info
More Evidence For the Use of Thyroid RFA for Micro-papillary Thyroid Cancer: It can replace surgery or active surveillance.
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 info
Active surveillance of low-risk papillary thyroid cancer: 2100/4200 patients opted for surgery instead of AS in this study!
Active 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?...More info
Cost-effectiveness of active surveillance versus hemithyroidectomy for micropapillary thyroid cancer.
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...More info
Thyroid Micro-Papillary Cancer: There is a Third Option to Surgery or Observation and Ultrasounds. Radiofrequency Ablation RFA.
Thyroid Micro-Papillary Cancer: There is a Third Option to Surgery or Observation and Ultrasounds AS. RFA Dr.Guttler’s comments, Patients start AS and drop out to have surgery, fail to return for ultrasounds in 25% of the cases started on...More info