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
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
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
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
Thyroid No Surgery 101: Thyroid RFA more effective than Laser Ablation. DR.Guttler’s Comments: 1. In conclusion of this study was that thyroid RFA achieved better volume reduction at six months than Laser. However, the success rate and...
More info
Thyroid Radiofrequency Ablation: A New Office Based Procedure for Endocrinologists May 2020 Journal of the Endocrine Society 4(Supplement_1) DOI: 10.1210/jendso/bvaa046.2033 License CC BY-NC-ND 4.0 Richard Guttler Recent FDA approval of...
More info
Radiofrequency Ablation Case Study: Use of Thyroid RFA for Palliative Treatment for Thyroid Cancers. What to do with a patient with cystic micro-papillary cancer with the only good recurrent nerve on the side of the cancer after childhood heart...
More info First USA Endocrinologist’s Posted Abstract On Thyroid RFA for thyroid Nodules done in their office without sedation. Study was delayed by the pandemic but early 3 month results are very promising. How two endocrinologists are leading the...
More info
Thyroid Radiofrequency Ablation Course Santa Monica Thyroid Center Richard Guttler MD,FACE,ECNU Interventional Thyroidologist www.thyroid.com Radiofrequency Thyroid Tumor Ablation Workshop For Endocrinologists...
More info