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
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
Thyroid Cancer No Surgery: Patient Reaction to the diagnosis of possible or definite thyroid cancer.
Patient Reaction to the diagnosis of possible or definite thyroid cancer. Thyroid 31(4)2021 S.Pitt et al DR.Guttler’s comments: 85 patients interviewed before thyroid surgery. Many had 1 cm nodules. Initial shock anxiety, fear, and strong...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
Thyroid Micro-Papillary Cancer: There is a Third Option to Surgery or Observation and Ultrasounds. Radiofrequency Ablation RFA.
Thyroid Micro-Papillary Cancer: There is a Third Option to Surgery or Observation and Ultrasounds AS. RFA Dr.Guttler’s comments, Patients start AS and drop out to have surgery, fail to return for ultrasounds in 25% of the cases started on...More info
Active Surveillance AS For Micro-papillary Thyroid Cancer: Endocrine Practice 27(2021) p. 1-7 National Survey of endocrinologists on AS. B.J. Roman et al Dr.Guttler’s Comments. In 2017 when this survey was done, thyroid RFA was just...More info
Question: When can you treat micropapillary thyroid cancers with RFA instead of surgery or active surveillance?
Question: When can you treat micropapillary thyroid cancers with RFA instead of surgery or active surveillance?More info
Dr.Guttler’s Interview with Editor Rudy Garay of Thyroid Radiofrequency Ablation Website. Editor’s questions during the interview. Question: How does a patient learn about thyroid RFA? Call me at 310-393-8860 or secure...More info
Quality of Life for Patients with Micro-Papillary Thyroid Cancer MPTC. Endocrine Practice 26(12) December 2020 1451-57 Nakamura T. et al Dr.Guttler’s comments They only compared immediate surgery vs active surveillance. 347 low risk MPTC...More info