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
Endocrine Practice 27(2021) p. 682-690 Zhang F. et al DR.Guttler’s comments: Location within the thyroid lobes is studied in this paper. 604 nodules were studied. 37/604 were cancers. Upper pole nodules had the highest number of cases of...More info
No Country for Aggressive Operators: Do No Harm When Treating Thyroid Patients with Radiofrequency Ablation RFA
No Country for Aggressive Operators: Do No Harm When Treating Patients with Benign Thyroid nodule with Radiofrequency Ablation RFA. It takes years of experience to go for total ablation of large thyroid nodules. The risk of injury increases with...More info
Papillary Thyroid Cancer: Positive Thyroid Antibodies associated with less lymph node and extra-thyroidal extension and better prognosis.
Papillary Thyroid Cancer: Positive Thyroid Antibodies associated with less lymph node and extra-thyroidal extension and better prognosis. DR. Guttler’s Comments: Study of 4000 patients that had thyroid surgery. 3000 were diagnosed...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
Case Finding Screening of First Degree Relatives of Patients with Hashimoto’s Thyroiditis. THYROID Published Online: 19 Mar 2021 https://doi.org/10.1089/thy.2020.0213 Familial Risk of Hashimoto’s ThyroiditisAmong First-Degree Relatives: A...More info
Dr.Guttler’s Comments; Overview of DLBCL diffuse large B-cell lymphoma and MALT Lymphoma (mucosa-associated lymphoid tissue lymphoma ). All other types are rare in the thyroid. Lymphoma Prevalence DLBCL, > 50% MALT (10–23%) Clinical...More info
Thyroid No Surgery: A Rare Thyroid Lymphoma Presents with Enlarging Goiter After Years of Hashimoto’s Thyroiditis CHT
Thyroid No Surgery: Rare Thyroid Lymphoma Presents with Enlarging Goiter After Years of Hashimoto’s Thyroiditis CHT Dr.Guttler’s comments: In 46 years of my thyroidology practice I have diagnosed only a few thyroid lymphomas in my...More info
Effectiveness of Injecting Cold 5% Dextrose into Patients with Nerve Damage Symptoms during Thyroid Radiofrequency Ablation.
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 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
Active surveillance of low-risk papillary thyroid cancer: 2100/4200 patients opted for surgery instead of AS in this study!
Active 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?...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