DR.Guttler’s Comments 1. This article explains the need for standby ice cold 5% dextrose during RFA treatments for thyroid nodules and cancer. 2. Aborting the treatment at the first sign of voice change and injection of dextrose can...
More infoIn 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...
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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 infoActive surveillance AS of low-risk papillary thyroid cancer: 2100/4200 patients opted for surgery in this study! How many would opt out of surgery and switch to radiofrequency ablation if it was offered as a third alernative to AS?...
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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...
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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...
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Interventional Thyroidologist: They are the ones to find a way to prevent unnecessary surgery for thyroid and neck cysts and solid toxic nodules and cancer lymph nodes with ethanol ablation PEI. Treat benign thyroid nodules with either ethanol if...
More infoDr.Guttler’s comments: This is a good letter on the basis of the study comparing PLA to RFA in the hands of several experts doing both procedures. Contact me at 310-393-8860 or [email protected] Dr.G. Percutaneous ablation...
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Thyroid.Com and Thyroid Blog: The Major Influencers of Public Opinion on Minimally Invasive Procedures To Treat Thyroid Nodules and Cancer. 1. A search for expert interventional endocrinologist my website came in 3 and 5 on the first search...
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2021: Thermal Ablation A New Addition For Treating Micro-Papillary Without Surgery or Active Surveillance. Featured image is of a micropapillary cancer on the wall of a larger cyst. DR.Guttler’s Comments on this study: T1bN0M0 stage is...
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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...
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What Is Interventional Thyroidology? Interventional thyroidology is an emerging field that uses percutaneous (i.e. through the skin), image-guided procedures to treat thyroid diseases. Interventional thyroidology uses less invasive techniques...
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