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...
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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...
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Thyroglossal Duct Cyst: Ethanol Ablation Therapy PEI for Adults and Children. The old standard therapy for TGD cyst is surgery. However there may be patients who do not want surgery for the fear of the scar or surgical post op complications. PEI...
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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...
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1. Thyroid Nodules: Pure cyst or > 50 fluid use ethanol ablation PEI. Solid mixed cyst >50% use Radiofrequency ablation RFA. 2. Solid Thyroid Nodules: Toxic or Autonomous Functioning Nodule with Low TSH and High T4: Treat with RFA instead...
More info Dr.Guttler’s comments: 1. There is a debate on the use of “low dose” ethanol vs standard dosing. 2. Considering the very low complication rate of EA, even when a dose of more than 5 mL is used, the advantage of low-dose EA is...
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Dr.Guttler’s comments: 1. 75 patients with TGD cysts were studies. 2. Follow up in many up to 131 months found 83% success rate with 82% reduction in size. 3. No patients developed malignancy from the ablated TGDCs but one patient (1.5%...
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Thyroid Ablation with Ethanol and Radiofrequency Ablation. Don’t be fooled by ads and websites by hospitals, universities, radiologists, surgeons who are new to Treating thyroid patients with thyroid radiofrequency or ethanol ablation treatment...
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Benign thyroid nodules class 11 are good candidates for Ablation. However, Class III will need more studies to be sure you don’t have a nodule with potential for thyroid cancer. A suspicious needle biopsy alone can lead to unnecessary...
More infoDr.Guttler’s comments The PEI, forgotten first choice treatment for cysts has been around since the 1990s and is still not done in many places even when it is the treatment of choice. This Korean study should wake up the physicians seeing...
More info In 2014 there were none of the above learning thyroid RFA. Only Koreans, and Europeans such as Dr.Baek in Korea and Dr.Valcavi in Italy. After traveling to Italy in 2014, I returned to the US and began to work with RFA systems and to teach...
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If there is <10% solid component ethanol ablation is the treatment of choice. 10-50% solid component a combination of PEI and RFA is the preferred therapy. >50% solid thyroid RFA is the preferred therapy. PEI 10% solid nodules 85-95 volume...
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