Dr.Guttler’s comments: Many patients have a fear of radiation and also have misgivings about thyroid surgery. For those patients RFA is an excellent alternative. RFA remains a valid second-line option for AFTN treatment in case of...More info
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
What are Your options when your surgeon refuses to listen to your desire to avoid surgery with thyroid cancer?
Check out alternative minimally invasion procedures by checking the internet. Consider getting an outside opinion. If your surgeon is refuses to listen to you, you can insist your case be presented to the hospital tumor board. The board has other...More info
Dr.Guttler will be going on vacation from September 20-30 2021 and sabbatical for November 15 to December 15 2021. The 17 patients waiting for treatment in my office can save money by coming in before September 20th or during September 30th to...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
Dr.Guttler’s comments: For carefully selected PTMC, RFA did not have inferior oncologic outcomes after 5 years of follow-up when compared with open surgery THYCA-QoL questionnaire, a specific scale for thyroid cancer patients, to evaluate...More info
How A PET/CT Study Saved A Patient From Unnecessary Thyroid Surgery with a Class III atypical cytology and suspicious AFIRMA classifier.
50 Y/O female with a large thyroid nodule who was told to have surgery after the FNA was class III atypical cells, and a AFIRMA GSC classifier suspicious.She was told she had a 50% chance of cancer. She had the nodular goiter for years 2004. She...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
Dr.Guttler’s comments: Most over the counter supplements are worthless and put billions in the pockets of the companies. Biotin is not only worthless but it causes thyroid blood testing abnormalities. Hair loss is a serious problem but if...More info
Indeterminate thyroid nodules. The role of 18F-FDG PET/CT in the “era” of ultrasonography risk stratification systems and new thyroid cytology classifications Arnoldo Piccardo, et al Endocrine volume 69, pages 553–561 (2020 DR.Guttler’s...More info
Dr.Guttler’s comments: Not much can go wrong but here is a summary. Unlike the hospital, my patients are watched post RFA for 30-45 minutes while they are checked for any symptoms. They can return to work but no heavy lifting or exercise...More info