Micro-papillary Thyroid Cancer Treatment Options: 1.Surgery 2. Active Surveillance AS 3. RFA Ablation. Alternative #3 RFA without surgery or AS. Biopsy positive micro-papillary at 4.4 mm and 0.036 ml. Method # 3 RFA Case: 37 Y/O male...More info
Management strategy for nerve damage during radiofrequency ablation of thyroid nodules. Dr.Guttler’s comments: Cold Dextrose injected as an emergency when the patient complains of hoarse voice can speed recovery. Of 17 patients who...More info
Dr.Guttler’s comments; 1. Advances in core needle biopsy (CNB) have led to the use of spring-activated single- or double-action needles in thyroid nodule diagnosis. In addition, widespread use of high-resolution US enables accurate...More info
Safe Effective Treatment for Autonomously Functioning Thyroid Nodules AFTN, Without Radiation or Surgery. Dr.Guttler’s comments: 1. 411 AFTNs treated by thermal ablation in 391 patients in 14 studies. 2. TSH normalization was achieved in...More info
Spotlight on Dr.Guttler’s 2020 RFA Treatment Problems due to the Pandemic. After years waiting for FDA approval to use RFA for thyroid nodules it happened in 2018. Just when we were getting up to speed and doing 16 thyroid nodules the...More info
Spotlight on Dr.Guttler’s Career. After fellowship I opened his thyroid center in Santa Monica. After survey of the local hospital records for thyroid surgery he noted they took out many thyroid nodules that were benign. Only 5% were...More info
SAT-LB77 Thyroid Radiofrequency Ablation: A New Office Based Procedure for Endocrinologists Richard B Guttler, MD,FACE,FACP,ECNU Journal of the Endocrine Society, Volume 4, Issue Supplement_1, April-May 2020, SAT-LB77...More info
Thyroid Microwave Ablation MWA of Thyroid Nodules: US-guided Microwave Ablation of Low-Risk Papillary Thyroid Microcarcinoma: Longer-Term Results of a Prospective Study Wen-Wen Yue et al The Journal of Clinical Endocrinology & Metabolism...More info
US-Guided Radiofrequency Ablation for Low-Risk Papillary Thyroid Microcarcinoma: Efficacy and Safety in a Large Population
US-Guided Radiofrequency Ablation for Low-Risk Papillary Thyroid Microcarcinoma: Efficacy and Safety in a Large Population. Dr.Guttler’s Comments: Small papillary thyroid cancers <1.5 cm are biopsied on occasion when US changes suggest...More info
Parathyroid Radiofrequency Ablation (PRFA) for Parathyroid Adenoma: Less expensive than surgery or medical treatment.
Parathyroid Radiofrequency Ablation PRFA for Parathyroid Adenoma PTA: Less expensive than surgery or medical treatment. Several studies have shown that PRFA is an alternative to parathyroid surgery or medical treatment. The cost of parathyroid...More info
Google Rank for Thyroid Procedures and Specialists. Endocrinologist treating parathyroid adenoma with radiofrequency ablation in his office. First page atNumber 2 out of 250,000 results. parathyroid adenoma in red with dextrose hydrodissection...More info
Thyroid No Surgery 101: The days of all thyroid cancers going to the surgeon to have their thyroid removed is over.
Thyroid No Surgery 101: The days of all thyroid cancers going to the surgeon to have their thyroid removed is over. Case: A 35 Y/O male has evaluated for enlarged neck lymph nodes and during the evaluation a neck ultrasound found 2 micro nodules...More info