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...
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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 infoDr.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...
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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...
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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 infoDr.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...
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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 infoDr.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...
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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...
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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...
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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 info 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...
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