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...More info
DR.Guttler’s Patient Thyroid Blog Post: More extensive total thyroidectomy than is needed in 50% of Cases with class V cytology.
DR.Guttler’s Patient Thyroid Blog Post: More extensive total thyroidectomy than is needed in 50% of Cases with class V cytology. Dr.Guttler’s comments: 25%-50% of Bethesda V thyroid nodules may be benign, noninvasive follicular...More info
Dr.Guttler’s Thyroid Blog Post #9 Open Letter to 10,000 Patients who have had a complete thyroid Evaluation by Me
Many of you are still seeing me to make sure your thyroid care for nodules, goiter, cancer and hormone dosing is adjusted as needed by 6-12 month check ups. Many have moved to general physicians in their network. Many have not had a dose change...More info
The Future for Thyroid Cancer Diagnosis By AI is Approaching soon:AI Can Diagnose Thyroid Cancer by Ultrasound Images Alone
New research reveals that an artificial intelligence (AI) model, combining several methods of machine learning, precisely identifies thyroid cancer and predicts genomic and pathological results via examination of regular ultrasound images.The AI...More info
DR.Guttler’s Patient Blogpost #1. Routine Thyroid nodule and cancer screening by ultrasound? You should say No
Routine Thyroid nodule and cancer screening by ultrasound? You should say No Do not let your primary physician do routine ultrasound of your thyroid just because he has a portable unit as seen here, or has a sonographer doing studies. Just say no...More info
Your Hypothyroidism: A diagnosis with serious implications for your family.
90% of patients with a diagnosis of hypothyroidism have Chronic Hashimoto’s thyroiditis CHT as the cause. The rest are due to surgery or radioiodine therapy. Did your primary physician evaluate you for CHT or just diagnose hypothyroidism...More info
Southern California Thyroid Patients If You Have known thyroid nodules and are one of the first ten patients to call you can have a free neck ultrasound by done personally by Dr.Guttler ( $450 ) value. www.ThyroidNoSurgery.com 310-393-8860 Santa...More info
Thyroid RFA Danger Zones: Not just the “danger triangle”The whole Posterior half of the thyroid gland is a danger area.
Where are the critical Structures? 1.A medial located vagus nerve can be up against the nodule. It is usually located lateral to the carotid in 75%. The middle cervical sympathetic ganglion also can be near the nodule. Recurrent laryngeal nerve...More info
Pseudo thyroid nodule: Unknown Long standing Zenker’s Diverticulum with Severe Weight loss sent for Thyroid biopsy.
70 pound F with 10 year history of severe weight loss with symptoms for vomiting undigested food and dysphagia has Hashimoto’s thyroiditis and a “thyroid nodule” on outside Ultrasound. Neck examination was negative for a thyroid...More info
Just Like Real Estate: Location, Location, Location: Thyroid Nodule Locations and Cancer Incidence.
Endocrine Practice 27(2021) p. 682-690 Zhang F. et al DR.Guttler’s comments: Location within the thyroid lobes is studied in this paper. 604 nodules were studied. 37/604 were cancers. Upper pole nodules had the highest number of cases of...More info
No Country for Aggressive Operators: Do No Harm When Treating Thyroid Patients with Radiofrequency Ablation RFA
No Country for Aggressive Operators: Do No Harm When Treating Patients with Benign Thyroid nodule with Radiofrequency Ablation RFA. It takes years of experience to go for total ablation of large thyroid nodules. The risk of injury increases with...More info
Case Finding Screening of First Degree Relatives of Patients with Hashimoto’s Thyroiditis.
Case Finding Screening of First Degree Relatives of Patients with Hashimoto’s Thyroiditis. THYROID Published Online: 19 Mar 2021 https://doi.org/10.1089/thy.2020.0213 Familial Risk of Hashimoto’s ThyroiditisAmong First-Degree Relatives: A...More info