Dr.Guttler’s comments: 1. Surgery was historically the treatment of choice for most thyroid cancer. 2.Active surveillance has emerged as an alternative for low-risk thyroid cancer in select patients. 3. However, not all patients want to...
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Dr.Guttler’s Patient Thyroid Blog Post #19 The Revolution Continues: Small Thyroid Cancers Don’t Need Surgery! Dr.Guttler’s comments: It was only recently that surgery was king for all thyroid cancers. Surgery was displaced by...
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DR. Guttler’s Comments: 1. A Pioneer in Minimally Invasive Surgery. 2. He is 101 years old and still has passion for his work. Arises early to walk go to the gym then spends 3 days a week at Cedars and the rest of the week he works form...
More infoDr.Guttler’s comments: 1. One hundred fifty-two (52.4%) of 290 patients answered the questionnaire. 2.Physical functioning (PF) was worse in those survivors who were aged 50 years or older. 3.There was a statistically significant decrease...
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Patient Thyroid BlogPost #18 Just Say No to Radioiodine for low risk Papillary thyroid cancer. Dr.Guttler’s comments: 1. In patients with low-risk differentiated thyroid cancer undergoing thyroidectomy, the postoperative administration of...
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Dr.Guttler’s comments: 1. Study was to assess QoL in patients 6–10 years after treatment for Graves’ disease. 2. Patients treated with RAI had worse thyroid-related and general QoL than patients treated with ATD.Surgery has...
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Dr.Guttler’s comments: In 2022 surgery and radioiodine are used less often than long term low dose Anti thyroid drugs. Surgery has it’s own loss of quality of life when complications occur and a scar is left , and life long thyroid...
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Dr.Guttler’s Comments: 1. In the 1970s, treatment with thyroid extract was superseded by levothyroxine, a synthetic l form of tetraiodothyronine and is still there has been no major innovation since. 2.Adverse health effects have been...
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Dr.Guttler’s comments: >4 cm nodules that are cytology class II should have molecular marker testing due to high rate of false negative cytology on big nodules. Suspicious thyroid nodules ≥4 cm require diagnostic lobectomy if the...
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Dr.Guttler’s comments: The patient’s QoL has not been an issue for physicians to study for most of medical history. Shameful neglect of QoL studies of thyroid patients that are not hyper or hypothyroid but just goiters or nodules...
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Dr.Guttler’s comments: Surgery vs RFA for micro-thyroid cancers. RFA is the only treatment that dose not have a scar, surgical complications or the need to take thyroid hormone for life. There were significantly more patients with transient...
More info Quality of Life Impairment 6 months after therapy Toxic Nodules. Dr.Guttler’s comments: Just looking at Toxic nodules in this study. They looked at 68 patients with toxic nodular goiter. The patients were treated with antithyroid drugs...
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