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
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
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 importance of being awake during the procedure is to be able to tell the operator that there is a problem. Recent paper by a group of surgeons and endocrinologists had his quote. “Patients also had additional mild conscious sedation...More info
In 2021 even the Acadermic Surgeons are Considering Thyroid RFA for thyroid nodules instead of surgery!
In 2021 even the Academic Surgeons are Considering Thyroid RFA for thyroid nodules in stead of surgery. Ralph Tufano, M.B.A., M.D. His quote off the Johns Hopkins Website. “A newer alternative that the doctor can use to treat benign nodules...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
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