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
AFTN and Toxic Nodules: Avoid Radioiodine Therapy has of risk of all-cause mortality. Consider Radiofrequency ablation RFA.
Autonomous Functioning Thyroid Nodules AFTN and Toxic Nodules: Avoid Radioiodine Therapy RAI as it has risk of increased all-cause mortality. Consider Radiofrequency ablation RFA instead. DR. Guttler’s comments: They found no increased...More info
DR.Guttler’s comments: This is an excellent video by a surgeon on the risks of RFA for thyroid nodules. The thyroid sits surrounded by important structures including the trachea, recurrent laryngeal nerve (RLN) and vagus nerve, and common...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
Benign Thyroid Nodules For Alternative Treatment with Thyroid Radiofrequency Ablation: A Call for Patients.
Thyroid RFA is now approved for treatment of thyroid nodules in the USA I am doing a study with 80 patients for safety and effectiveness to be done in an endocrine office practice.Thousands of patients in Europe and Asia have had...More info
Efficacy and Safety of Thyroid RFA for autonomous functioning thyroid nodules AFTN. Dr.Guttler’s comments: 411 AFTNs treated by thermal ablation in 391 patients in 14 studies. TSH normalization was achieved in 71.2% of...More info
Nodule AFTN Treatment with radiofrequency ablation RFA vs Radioiodine therapy RAI. DR.Guttler’s comments: The RAI group had patients develop hypothyroidism needing life time thyroid hormone replacement. 5/25 patients developed clinical...More info
Thyroid No Surgery or Radiation for Autonomous Functioning Thyroid Nodules: Radiofrequency Ablation is the treatment of choice in 2021.
Thyroid No Surgery or Radiation for Autonomous Functioning Thyroid Nodules AFTN: Radiofrequency Ablation should be the treatment of choice in 2021. Dr.Guttler’s Comments: Until recently the treatment for toxic or AFTN’s was surgery or...More info