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
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
Pseudo thyroid nodule: Unknown Long standing Zenker’s Diverticulum with Severe Weight loss sent for Thyroid biopsy.
70 pound F with 10 year history of severe weight loss with symptoms for vomiting undigested food and dysphagia has Hashimoto’s thyroiditis and a “thyroid nodule” on outside Ultrasound. Neck examination was negative for a thyroid...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
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
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
What to Expect? Dr.Guttler’s comments. Many patient panic when there is more neck bulging on day one post RFA. Also the volume of the nodule may increase. This is normal after RFA. It is caused by edema and swelling of the nodule and soft...More info
Dr. Guttler’s comments: To decrease the amount of residual nodule tissue left after the first ablation there are two methods to help. The Artery Ablation. This is the first thing to do. The feeder artery can be ablated by inserting the tip...More info
The American Thyroid Association has accepted our abstract on the results of 3 endocrine practice’s office based (OB) thyroid nodule RFA ablation. It will be presented at their 2021 national meeting. Dr. Kathleen Hands in Texas Brian...More info