Large Benign Thyroid Cyst Treated by Ethanol Ablation PEI. The patient refused surgery for this very large thyroid cyst. 64 ml cyst had 30 cc Cyst fluid removed and a cutting needle biopsy was done of the cyst capsule. It was a benign colloid...
More infoToo Many Thyroid Biopsies Result in Too Many Thyroid Surgeries: What To Do About? DR.Guttler’s comments: The prevalence of thyroid nodules in the general population is high. At least half of those biopsied prove to be benign. Ultrasound...
More infoHashimoto Thyroiditis Effect 0n Thyroid Nodule Cytology and Risk of Thyroid Cancer Dr.Guttler’s comments: A prospective of cohort analysis of 9851 consecutive patients with 21,397 nodules ≥1 cm who underwent nodule evaluation between 1995...
More info
RFA vs Microwave ablation in thyroid nodules. Large #16 gauge antenna used in MWA. Too long, thick and bulky to be used by most endocrinologists . Small short 7cm #19 gauge electrode for work in the neck. DR.Guttler’s comments...
More info
Patient with a Large Neck Cyst with Choking and Pressure Symptoms. Told to Have Surgery. The patient refused surgery and sought alternative treatment. 35Y/O M with 6 months of progressive neck symptoms. Examination of the neck only found a soft...
More info
Quality of Life for Patients with Micro-Papillary Thyroid Cancer MPTC. Endocrine Practice 26(12) December 2020 1451-57 Nakamura T. et al Dr.Guttler’s comments They only compared immediate surgery vs active surveillance. 347 low risk MPTC...
More info
Large Thyroid Nodules Have a Low Risk of Cancer. Why do Surgeons Rush off to Surgery When Radiofrequency Ablation RFA is Safe and is Minimally Invasive. Article: The risk of Thyroid Cancer with Large Nodules 3 cm or larger is Low. Endocrine...
More info