RFA for Thyroid Nodules and Cancer:: Transformative Therapy With Abuse Risks. Endocrine Practice 28( 2022) 233-234. Haymart MR et at Dr.Guttler’s comments. 1. RFA can and will change how we care for patients with nodules and cancer in the...More info
Humane treatment during the diagnosis and treatment for nodules and cancer is your right. Many physicians are only interested in outcomes and do not treat the whole patient. They make it possible for you to have heightened stress, anxiety, fear...More info
Dr.Guttler’s comments: There is the need for physicians to plan how to address their patients about thyroid nodules and cancer to lessen stress and emotional damage. All physicians taking care of thyroid patients with the prospect of...More info
1. Thyroid nodule: how is it diagnosed? The presence of goiter and thyroid nodules does not give rise to specific symptoms, unless the size is such that it causes compression of the trachea or oesophagus, leading to swallowing or breathing...More info
Dr.Guttler’s comments:1. For symptomatic nonfunctioning Parathyroid Cysts, simple aspiration could be a first line procedure for diagnosis and treatment, while EA can be a subsequent treatment modality for recurrent cases. 2. 20 years...More info
Is Thyroid Radiofrequency Ablation Right for Treatment of Your Small Papillary thyroid cancer instead of thyroid surgery?
Dr.Guttler’s Comments: The answer is yes in selected cases. The Kaplan–Meier curves of follow-up in both groups. 1.In conclusion, this study of carefully selected PTMC, RFA did not have inferior oncologic outcomes after 5 years of follow-up...More info
Radiofrequency ablation RFA of Autonomous or Toxic Nodule Preserved Normal thyroid function compared to Radioiodine therapy..
Dr.Guttler’s comments: 1. The major difference was not in nodule reduction or treating the hyperthyroidism, it was in the preservation of normal thyroid function, and avoiding radiation exposure in young adults. All patients responded to RI...More info
Rat studies on A metal coordinated form of LT3, known as poly-zinc-liothyronine (PZL), avoided in rats the typical triiodothyronine (T3) peak seen after oral administration of LT3. Still Monotherapy with LT4 is still the treatment of choice...More info
Micro-papillary thyroid cancer: Alternative Non-surgical treatment? Just like Real Estate it’s Location,Location,Location
Dr.Guttler’s comments:The recurrent nerve on the right is posterior to the right lobe and the LRN is in the danger triangle.FIG. 1. Expected course of the right and left RLNs relative to the in situ thyroid gland. The left RLN passes deep...More info
Skin Metastasis From Papillary Thyroid Cancer: Another Use for Radiofrequency Ablation RFA instead of Surgery.
Dr.Guttler’s comments: 1. Skin metastatic disease is rare in papillary thyroid cancer. She had only thyroidectomy only 30 years ago. 2. This report of a single case with review of the previous reported cases. 3.The patient had symptoms of...More info
Normal Ectopic Thyroid Masquerading as recurrent thyroid cancer in Lateral neck lymph node.What Went Wrong needing major thyroid and neck dissection surgery, and lifetime thyroid hormone therapy.
Benign Ectopic Thyroid BET in the Lateral (Level II) Neck Compartment Dr.Guttler’s Comments: Image of a Cutting Needle biopsy of the wall of a cystic nodule as seen here could have proved it was benign normal thyroid tissue...More info
Baek JH et al Leading expert in RFA use for thyroid nodules and cancer has an accepted publication in Ultrasonography I have seen the article and here are my thoughts Dr.Guttler’s comments: 1. Thyroid cancers usually have good prognosis. 2...More info