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 infoYour Hypothyroidism: A diagnosis with serious implications for your family.
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 infoSinger Lost His Voice After Thyroid Cancer Surgery
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 infoSurgeons Use of Abusive Tactics To Get You Have The Surgery for a Thyroid Nodule or Cancer.
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 infoRadiofrequency Ablation RFA for Small Primary Papillary Thyroid Cancers
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 infoIs 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 infoToxic Nodule Can Be Treated without RadioIodine or Surgery by Radiofrequency Ablation No Scar No Thyroid Hormone or Continued Antithyroid Drugs.
RFA can result in no more use for antithyroid drugs, no scar and no need for thyroid hormone after surgery or RAI/131 therapy. The patient as a 1 cm toxic nodule with elevated T4 and non-detectable TSH on Tapazole to control the hyperthyroidism...
More infoCandidate Screening for Thyroid RFA
In all the procedures I have done with RFA for nodules and cancer I was tricked into doing the procedure on 2 patients who failed to disclose they had a problem that would have resulted in problems if not known before hand. Patient failed to list...
More infoRadiofrequency Ablation as Good as Thyroid Lobectomy for Low-Risk Papillary!
Dr.Guttler’s comments: This retrospective study evaluated 884 patients with unifocal low-risk PTMC treated with TL or RFA from June 2014 to March 2018. 460 patients underwent TL (TL group) and 424 patients, who refused surgery or Active...
More infoSpecial Offer
Southern California Thyroid Patients If You Have known thyroid nodules and are one of the first ten patients to call you can have a free neck ultrasound by done personally by Dr.Guttler ( $450 ) value. www.ThyroidNoSurgery.com 310-393-8860 Santa...
More infoLocal Toxicity From Lidocaine During Thyroid RFA
Dr.Guttler’s comments There is a limit to the amount used for skin and thyroid capsule injections. Toxic reactions are very rare. Aware of its symptoms and intravenous use of lipid emulsion are essential to preventing mortality. To relieve...
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