Endocrine Practice 27(2021) 1205-1211 Tufano R. et al DR.Guttler’s Comments: 25 patients were treated with RFA for PTA. 29 enlarged glands were RFA treated. 22 had one session. 3 had 2 sessions. 84% cure rate. 12 month volume reduction in...More info
Why have more thyroid surgery for recurrent cancer in a few lymph nodes? RFA can solve the problem without surgery.
Dr.Guttler’s comments: 29 patients with 49 recurrent episodes were followed from 60-114 months. Volume reduction was 99.5% 42/47 (91.3%) had complete ablation. No delayed complication found. RFA seems to be an effective minimally...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
Ethanol Ablation, PEI, EA, for Thyroid, Parathyroid and Other Neck Cysts: The Forgotten First Line Treatment.
Dr.Guttler’s comments The PEI, forgotten first choice treatment for cysts has been around since the 1990s and is still not done in many places even when it is the treatment of choice. This Korean study should wake up the physicians seeing...More info
Surgeons Should Not Do the Risk/Need Interview For Patients With Micro-papillary Thyroid Cancer.Get an Outside Thyroidologists Opinion on Radiofrequency Ablation.
Dr.Guttler’s comments” Read this paper before signing up for a thyroidectomy. 1. Patients commonly expressed negative emotions like fear and anxiety about “the C-word” and worried about the cancer growing or spreading...More info
The Gold Rush is ON. Every University, Hospital, Imaging Center, Radiologist, Surgeon is Now Offering Thyroid Radiofrequency Ablation RFA for Nodules.
In 2014 there were none of the above learning thyroid RFA. Only Koreans, and Europeans such as Dr.Baek in Korea and Dr.Valcavi in Italy. After traveling to Italy in 2014, I returned to the US and began to work with RFA systems and to teach...More info
The New Problem for Endocrinologists: What To Do With Family Members of Non- Medullary Thyroid Cancer Patients?
Dr.Guttler’s comments: Constitutes nearly 10% of all thyroid cancers. Familial non-medullary thyroid carcinoma (FNMTC), mainly of papillary histotype (FPTC), is defined by the presence of the disease in two or more first-degree relatives in...More info
90% of patients with a diagnosis of hypothyroidism have Chronic Hashimoto’s thyroiditis CHT as the cause. The rest are due to surgery or radioiodine therapy. Did your primary physician evaluate you for CHT or just diagnose hypothyroidism...More info
Dr.Guttler’s comments: Thyroid surgery is the primary treatment for thyroid cancer. This article is about a famous singer who lost his voice for months when he could not sing a note! However, there are alternatives if the cancer is small or...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