How to Become An Endocrinologist Doing Their Own Biopsies and Ethanol and Radiofrequency Ablation Procedures. RFA is approved in the USA and clinical trials are on-going. Learn two basic new methods to save your patients from unnecessary thyroid...More info
Thyroid Nodules 101: Don’t Want Surgery? OK but Don’t Wait to Have Alternative Therapy Until it Is Too Late!
Massive Thyroid Cystic Nodular Goiter Seen in 2019 to large for either ethanol or Radiofrequency ablation.. 900 cc cystic thyroid nodule after removal of 725 ml brown fluid. As it grew bigger the patient refused to consider surgery and looked for...More info
Endocrinologists Doing Their Own Thyroid Needle biopsies Can Add New Procedures to their Bottom Line.
Endocrinologists Doing Their Own Thyroid Needle biopsies Can Add New Procedures to their Bottom Line. Over the last 40 years I have pioneered new procedures to enhance patient care for those with thyroid goiters,nodules and cancer. Office based...More info
Thyroid RFA: With Clinical Trials Underway in Major US Universities it is Time to Train Endocrinologists in thyroid ablation
Thyroid RFA: With Clinical Trials Underway in Major US Universities it is Time to Train Endocrinologists in thyroid ablation. We finally have movement for treating patient with RFA for nodules and cancer.FDA approved soft tissue use and Mayo...More info
Thyroid Nodules No Surgery: 3-5 years after Thyroid Ethanol PEI or Radiofrequency Ablation RFA. Dr.Guttler’s comments: 1. Benign thyroid nodules in 2019 do not need to be treated by invasive thyroid surgery. 2. Cystic nodules > 50%...More info
Thyroglossal Duct Cyst 101: Ethanol Ablation Therapy PEI for Adults and Children. The standard therapy for TGD cyst is surgery. However there may be patients who do not want surgery. There is an example of another reason to have PEI and that is...More info
Parathyroid Cysts 101: They Can Be Anywhere Even in the thyroid gland and down into the chest. Dr.Guttler’s comments: Parathyroid Cysts are rare but I have seen 10 cases in my practice. I have treated larger ones and ones with symptoms with...More info
Massive Thyroid Cystic Nodular Goiter in 2019. Left Massive thyroid cystic nodule Patient had a biopsy and after massive amount of fluid ( 725 ml) was removed with still a very soft residual solid amount left. Fluid removed was equal to 73 10 ml...More info
Ethanol Ablation PEI Can Treat Solid and Cystic Nodules. 26-year-old woman with solid thyroid nodule. Sonogram obtained before PEI shows solid nodule in right thyroid lobe (volume, 3.8 cm3). 26-year-old woman with solid thyroid nodule. Sonogram...More info
Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery First always question your physician as to why they want a thyroid ultrasound TUS. There should be no screening thyroid ultrasounds. There must be indications for one. If you have a...More info
Thyroid Cancer 101: You have a Small Papillary thyroid Cancer You could be a candidate for No Surgery just active followup.
Thyroid Cancer 101: You have a Small Papillary thyroid Cancer. You could be a candidate for No Surgery just active surveillance followup AS. Dr.Guttler’s Comments: Risk based on size, location inside the thyroid gland, patient’s age...More info
Thyroid Surgery 101: Why Your Quality of Life is Decreased with Unnecessary Thyroid Surgery. Patients diagnosed with differentiated thyroid cancer (DTC), particularly those who underwent total thyroidectomies vs hemithyroidectomies, report a wide...More info