Dr.Guttler’s Thyroid Patient Blog Post: Long-Term Efficacy of a Single Session of RFA for Benign Thyroid Nodules. DR.Guttler’s comments: 1.Two hundred and fifteen patients were included. 2. An early significant reduction of nodule volume...
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Dr.Guttler’s Thyroid Patient Blog Post: PET/CT to Prevent unnecessary Surgery in Follicular Neoplasm with Low PET/CT SUV. Dr.Guttler’s Comments: 1.28/86 had PET/CT. 2. 6/28 had high SUV> 5 were sent to surgey. 3.22/28 had low SUV...
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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...
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Dr.Guttler’s Patient Thyroid Blog Post: List of Thyroid conditions can be treated without surgery with Ethanol or Radiofrequency Ablation. 1. Class II cytology benign thyroid nodules. 2. Proven benign class III and IV cytology nodules...
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 Blog post: Thyroid RFA By JH Baek Classic Paper. Dr.Guttler’s Comments: 1.This is a classic article on Thyroid RFA. 2. Read it and then call me for an evaluation. 3103938860 or thyroid.manager@thyroid.com Ask for...
More info 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: Can PET/CT prevent surgery in Class III atypical thyroid nodules? A.Piccardo et al Endocrine 2020 69-533-561 Dr.Guttler’s comments: 1. 111 patients were classified as Class III cytology. 67Class...
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Dr.Guttler’s Thyroid Patient Blog Post: When is Molecular Testing in Class III or IV nodules needed? Almost always! DR.Guttler’s Comments: The study results were that Cytology and Ultrasound were not able alone or together able to...
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