Thyroid (1) 2022 Tuttle RM et al Dr.Guttler’s comments: Study looked at 943 lobectomy cases matched with 943 patients with a total thyroidectomy for outcomes. At ten years there was no difference what surgery they had. Previous article by...More info
2022 The Indication For Thyroid Surgery Decreases Further Due to Novel Ablation Procedures For Benign and Thyroid Tumors
Thyroid 32(1) 2022 Tufano RP et al “The year of technical advances in treating nodules and cancer” Dr.Guttler’s comments on this special article on thyroid advances. The number of surgeries for benign nodules has shown a...More info
Dr. Guttler’s comments: 18/179 studies were included in this review. Results: RFA appears to be a safe alternative to surgery in selected cases. It is associated with a low risk profile. Also shows promising results in patients who are...More info
Dr. Guttler’s comments: A study in Mayo Clin.Proc. ( Nov 2021 96 2823-30 ) by Ian Hay et al, found 600 cases of thyroid cancer from 1935-2018. 89% were papillary and the median tumor size was 1.5 cm ( 0.9-2.5 cm ) The 8 decade study found...More info
First, thyroid surgery is the primary method of treatment for most thyroid cancers. However, it still is the job of the surgeon it discuss viable alternatives before pushing for a surgery date for the operation. The two areas that there are...More info
A case report 37 Y/O male with a Needle biopsy proven left lobe papillary thyroid cancer. Comes for a second opinion on the need for surgery. Discussed active surveillance, surgery and RFA. Patient opted for RFA. FH: goiter in GF in China...More info
Is Thyroidectomy Still the gold standard for all thyroid nodules,cancer, and metastatic lymph nodes?
20 years of image guided interventional methods have emerged as alternatives for treatment. Ethanol ablation PEI has been accepted as best treatment for thyroid cysts. Thermal ablation has been successful in size reduction of thyroid nodules that...More info
DR.Guttler in his officeMore info
Alternative Therapy For Recurrent Thyroid Cancer:Ethical Issues of Patient’s Rights to Decide Therapy.
Dr.Guttler’s Case was presented at the World Congress of Thyroid Cancer WCTC 4 on 10-17-21. Case Summary One year ago patient was diagnosed with hyperparathyroidism. She elected to have a right parathyroidectomy. During the surgery the...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
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