Dr.Guttler’s comments: To prevent this serious complication, make sure you absolutely need the surgery. A total of 1000 RLNs from 574 patients were assessed in this review. Nearly one-quarter (23%) of the RLNs deviated from their...More info
Thyroid (1) 2022 Tuttle RM et al Dr.Guttler’s comments: Study looked at 943 lobectomy cases matched with 943 patients with a total thyroidectomy for outcomes. At ten years there was no difference what surgery they had. Previous article by...More info
2022 The Indication For Thyroid Surgery Decreases Further Due to Novel Ablation Procedures For Benign and Thyroid Tumors
Thyroid 32(1) 2022 Tufano RP et al “The year of technical advances in treating nodules and cancer” Dr.Guttler’s comments on this special article on thyroid advances. The number of surgeries for benign nodules has shown a...More info
Thyroid No Surgery: List of All Diseases With Low Risk Alternative Ablation Therapy Available at My Center
Benign thyroid nodules class 11 are good candidates for Ablation. However, Class III will need more studies to be sure you don’t have a nodule with potential for thyroid cancer. A suspicious needle biopsy alone can lead to unnecessary...More info
What the Patient Fears about Having a Thyroid Nodule Evaluation For Cancer and the Needed Treatment.
From the moment the lump in your neck is noted by you, family member or your primary physician, the first thought is do I have thyroid cancer? Will I see my kids grow up? The amount of anxiety, worry and fear increases when you are told you need...More info
Continuous Infusion of Dextrose to Protect Vital Structures During Thyroid Radiofrequency Ablation Procedures.
When do we need to use continuous infusion D5W for adequate hydrodissection protective effects? Ma Y. et al Eur. Thyroid Journal October 2021 DR. Guttler’s Comments on the article: Single bolus of D5W has a short half life in the body...More info
Skin involvement with recurrent thyroid cancer.More info
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Why have more thyroid surgery for recurrent cancer in a few lymph nodes? RFA can solve the problem without surgery.
Dr.Guttler’s comments: 29 patients with 49 recurrent episodes were followed from 60-114 months. Volume reduction was 99.5% 42/47 (91.3%) had complete ablation. No delayed complication found. RFA seems to be an effective minimally invasive...More info
Dr. Guttler’s comments: 18/179 studies were included in this review. Results: RFA appears to be a safe alternative to surgery in selected cases. It is associated with a low risk profile. Also shows promising results in patients who are...More info
Dr. Guttler’s comments: A study in Mayo Clin.Proc. ( Nov 2021 96 2823-30 ) by Ian Hay et al, found 600 cases of thyroid cancer from 1935-2018. 89% were papillary and the median tumor size was 1.5 cm ( 0.9-2.5 cm ) The 8 decade study found...More info