Dr. Guttler’s comments: To decrease the amount of residual nodule tissue left after the first ablation there are two methods to help. The Artery Ablation. This is the first thing to do. The feeder artery can be ablated by inserting the tip...More info
The American Thyroid Association has accepted our abstract on the results of 3 endocrine practice’s office based (OB) thyroid nodule RFA ablation. It will be presented at their 2021 national meeting. Dr. Kathleen Hands in Texas Brian...More info
Lobectomy unless necessary will usually result in Life Time Thyroid Hormone Replacement. Consider Alternatives Such As Ethanol or Radiofrequency Ablation.
Endocrine Practice 27 ( 2021) page 691-97 Schumm M. et al Dr.Guttler’s Comments: Post lobectomy TSH of 87 115 patients had TSH >2. Older patients should think twice about a lobectomy unless necessary. Pre-lobectomy TSH > 1.8 was a...More info
Endocrine Practice 27(2021) p. 682-690 Zhang F. et al DR.Guttler’s comments: Location within the thyroid lobes is studied in this paper. 604 nodules were studied. 37/604 were cancers. Upper pole nodules had the highest number of cases of...More info
Fewer complications. Shorter recovery time Quick return to normal work and leisure activities. Preserves your thyroid function. No life long thyroid medication. No general anesthesia Local only. No hospital admission. No surgical scar. No...More info
Just like general surgery for thyroid nodules and cancer, hospital based surgeons are now pushing general RFA for thyroid nodules. The general stands for general anesthesia with or without nerve monitoring. The alternative is outpatient thyroid...More info
A Proven Outpatient Procedure Done Under Local is Moved To Costly Inpatient Setting with General Anesthesia and Nerve Monitoring.
Costly General anesthesia for Thyroid Nodule RFA Ablation. Now add another expense with continuous intraoperative neuromonitoring CIONM. AM J. Surg C.Sinclair et al Nov 2020 Dr Guttler’s comments: To justify the use of a general with the...More info
Why Wait to Treat Your Benign Nodule Out of Fear of Surgery? Ethanol and Radiofrequency Ablation Our Both Available Now
At least 2-4 times a year patients present with extremely large Goiter nodules. They have seen many endocrinologists and surgeons before me.They claim for different reasons not to want surgery even though all the prior physicians told them to...More info
Benign Symptomatic Thyroid Nodules BSTN Treatment with Ethanol or Radiofrequency Ablations had Improved Their Quality of Life QoL.
Dr.Guttler’s comments: QoL was evaluated using a thyroid-specific QoL questionnaire consisting of 11 scales with multiple-choice answers. Nodule characteristics and QoL were evaluated at diagnosis and 1, 6, and 12 months after treatment...More info
The treatment you have postponed due to the pandemic is available now. Ethanol ablation for thyroid parathyroid and other neck cysts, and Radiofrequency ablation for benign thyroid nodules, small papillary thyroid cancers and follicular...More info
The use of PET/CT in follicular neoplasms has been shown to sort out two groups. 28 / 86 patients with FN had PET/CT imaging. 6/28 had high SUV max of >5. and sent to surgery. 22/28 had low SUV max> 5. All 22 had thyroid RF ablation. 12 month...More info
Thyroid RFA: It is Used Routinely for treating thyroid nodules, AFTN, Toxic Nodules, Micropapillary thyroid cancer, recurrent thyroid cancer, and even follicular neoplasms in some thyroidologist practices now.
Call me for a consultation before having surgery. 310-393-8860 or email to email@example.com Ask for Alicia. DR.G.More info