Dr.Guttler’s Patient Thyroid Blog Post: The Gold Standard Thyroid Nodule Evaluation: How to have the best chance to avoid surgery. 1. Endocrine evaluation, TSH,FT4,TPO, TIRADS Ultrasound, FNA. 2. Low risk ultrasound and Class II cytology...
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Dr.Guttler’s Patient Thyroid Blog Post: Why are so many patients with small thyroid cancers looking for alternatives to surgery? DR.Guttler’s comments: 1. Two major breakthroughs in 2018 have FDA approval of radiofrequency ablation...
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Dr.Guttler’s Patient Thyroid Blog Post: Does BRAF V600E mutation effect the outcomes of 1-1.5 cm papillary cancers? S.Silver et al Nov. 2021 J.of Otolaryngology. Dr.Guttler’s Comments: BRAF mutations are found in 40% of small cancer...
More infoDr.Guttler’s Patient Thyroid Blog Post on Radiofrequency ablation for small thyroid cancers Dr.Guttler’s comments: Thyroid RFA can ablate the cancer without surgery or life long follow up as in Active surveillance. Not all patients...
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Dr.Guttler’s Patient Thyroid Blog Posts: PET/CT can it Prevent futile surgery on indeterminate thyroid nodules? This paper suggests the answer is yes. E. deKoster et al Eur J. Nucl Med Mol Imaging April 2022 49: 1970-84. Dr.Guttler’s...
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Dr.Guttler’s Patient Thyroid Blog Post: Radiofrequency Ablation for Thyroid Papillary Microcarcinoma Dr.Guttler’s comments: 1. Dr Allen Ho came to my center to observe a patient of mine having thyroid RFA for a thyroid nodule. Now he...
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Dr.Guttler’s Patient Thyroid Blog Post: Radiofrequency Ablation of Papillary Thyroid Micro-carcinoma. Dr.Guttler’s Comments: 1.Incidental finding pre-op bariatric surgery found a < 1 cm suspicious nodule. A before the RFA B shows...
More info DR.Guttler’s Patient Thyroid Blog Posts: Patients’ Treatment Choice for Low Risk Thyroid Cancer. DR.Guttler’s comments: Low risk thyroid cancer is a quality of Life issue. What option has the best options related to improving...
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Dr. Richard Guttler’s Patient Thyroid Radiofrequency Ablation Blog Post This is a blog dedicated to helping patients with the anxiety causing problem of determining if they need surgery for their thyroid solid or cystic benign nodule, thyroid...
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Dr.Guttler’s comments: Complications, Protocol, Follow up and Conclusions 1. Complications are not common with treatment of small thyroid cancers but do occur. 2.RFA has an excellent safety profile for small thyroid cancers and benign...
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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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