Dr. Richard Guttler
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In 2021 even the Acadermic Surgeons are Considering Thyroid RFA for thyroid nodules instead of surgery!

Posted March 5, 2021 by Dr Guttler
1387

In 2021 even the Academic Surgeons are Considering Thyroid RFA for thyroid nodules in stead of surgery. Ralph Tufano, M.B.A., M.D. His quote off the Johns Hopkins Website. “A newer alternative that the doctor can use to treat benign nodules...

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More Evidence For the Use of Thyroid RFA for Micro-papillary Thyroid Cancer: It can replace surgery or active surveillance.

Posted March 2, 2021 by Dr Guttler
1849
More Evidence For the Use of Thyroid RFA for Micro-papillary Thyroid Cancer: It can replace surgery or active surveillance.

More Evidence For the Use of Thyroid thermal ablation for Micro-papillary Thyroid Cancer: It can replace surgery or active surveillance in selected patients. Ultrasound Image of a patient’s micro-papillary cancer before RFA ablation...

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Active surveillance of low-risk papillary thyroid cancer: 2100/4200 patients opted for surgery instead of AS in this study!

Posted February 26, 2021 by Dr Guttler
1247

Active surveillance AS  of low-risk papillary thyroid cancer: 2100/4200 patients opted for surgery in this study! How many would opt out of surgery and switch to radiofrequency ablation if it was offered as a third alernative to AS?...

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Cost-effectiveness of active surveillance versus hemithyroidectomy for micropapillary thyroid cancer.

Posted February 25, 2021 by Dr Guttler
1277

Cost-effectiveness of active surveillance AS versus hemithyroidectomy for micropapillary thyroid cancer. What about comparing thyroid radiofrequency ablation to AS? Dr.Guttler’s comments: At present the patient with a micropapillary cancer...

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Thyroid Micro-Papillary Cancer: There is a Third Option to Surgery or Observation and Ultrasounds. Radiofrequency Ablation RFA.

Posted February 24, 2021 by Dr Guttler
1207
Thyroid Micro-Papillary Cancer: There is a Third Option to Surgery or Observation and Ultrasounds. Radiofrequency Ablation RFA.

Thyroid Micro-Papillary Cancer: There is a Third Option to Surgery or Observation and Ultrasounds AS. RFA Dr.Guttler’s comments,  Patients start AS and drop out to have surgery, fail to return for ultrasounds in 25% of the cases started on...

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Thyroid No Surgery: Beware of the Hurthle Cell Diagnosis that sends you to unnecessary thyroid surgery.

Posted February 23, 2021 by Dr Guttler
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Thyroid No Surgery: Beware of the Hurthle Cell HC Diagnosis that sends you to unnecessary thyroid surgery. Dr.Guttler’s comments: The scary diagnosis after a FNA is the presence of Hurthle Cells in a nodule in the thyroid gland. The...

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Thyroid No Surgery: Beware of Physicians Ordering Unnecessary Thyroid Ultrasounds and Biopsies.Ultrasound

Posted February 23, 2021 by Dr Guttler
852

Thyroid No Surgery: Beware of Physicians Ordering Unnecessary Thyroid Ultrasounds and Biopsies. Dr.Guttler’s comments: Thyroid ultrasound is not a screening test. It is a test that is used when there are indications.  Family history of...

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Interventional Thyroidologist: They are the ones to find a way to prevent unnecessary surgery.

Posted February 19, 2021 by Dr Guttler
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Interventional Thyroidologist: They are the ones to find a way to prevent unnecessary surgery.

Interventional Thyroidologist: They are the ones to find a way to prevent unnecessary surgery for thyroid and neck cysts and solid toxic nodules and cancer lymph nodes with ethanol ablation PEI. Treat benign thyroid nodules with either ethanol if...

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Thyroid No Surgery: Percutaneous ablation holds the potential to substitute for surgery as first choice treatment for symptomatic benign thyroid nodules.

Posted February 19, 2021 by Dr Guttler
308

Dr.Guttler’s comments: This is a good letter on the basis of the study comparing PLA to RFA in the hands of several experts doing both procedures. Contact me at 310-393-8860 or thyroid.manager@thyroid.com. Dr.G. Percutaneous ablation holds...

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Benign thyroid nodules treatment using percutaneous laser ablation (PLA) and radiofrequency ablation (RFA)

Posted February 18, 2021 by Dr Guttler
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Dr.Guttler’s comments on this article. In the hands of this expert operators thyroid PLA and RFA give equal results. However, in the US thyroid PLA is a new procedure. I have 6 years experience with thyroid RFA and it has been approved...

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Thyroid.Com and Dr.Guttler’s Thyroid Blog: The Major Influencers of Public Opinion on Minimally Invasive Procedures To Treat Thyroid Nodules and Cancer.

Posted February 12, 2021 by Dr Guttler
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Thyroid.Com and Dr.Guttler’s Thyroid Blog: The Major Influencers of Public Opinion on Minimally Invasive Procedures To Treat Thyroid Nodules and Cancer.

 Thyroid.Com and Thyroid Blog: The Major Influencers of Public Opinion on Minimally Invasive Procedures To Treat Thyroid Nodules and Cancer. 1. A search for expert interventional endocrinologist my website came in 3 and 5 on the first search...

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2021: Thermal Ablation A New Addition For Treating Micro-Papillary Without Surgery or Active Surveillance.

Posted February 10, 2021 by Dr Guttler
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2021: Thermal Ablation A New Addition For Treating Micro-Papillary Without Surgery or Active Surveillance.

2021: Thermal Ablation A New Addition For Treating Micro-Papillary Without Surgery or Active Surveillance. Featured image is of a micropapillary cancer on the wall of a larger cyst. DR.Guttler’s Comments on this study: T1bN0M0 stage is...

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