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...
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Dr.Guttler’s Patient Thyroid Blog Post: Use of cold 5% Dextrose Water can treat the voice changes occurring during the RFA treatment. Call me for an evaluation for thyroid RFA. 3102928860 or email to thyroid.manager@thyroid.com. Ask for...
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...
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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...
More info Baek JH et al Int.J. Hyperther Dec 2021 Dr.Guttler’s Comments: 1.The electrode has a micro hole in the tip to inject chilled normal saline at 1.5 ml/minute. 2. The results in 20 patients was comparable to results with the standard...
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 comments: 25%-50% of Bethesda V thyroid nodules may be benign, noninvasive follicular...
More infoDr.Guttler’s comments: Most thyroid cancers are low risk papillary thyroid cancers. Follicular and medullary are intermediate risk. The worst one is anaplastic and Putin would be dead by now. Only Putin would have a thyroid cancer surgeon...
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Dr.Guttler’s Patient Thyroid Blog Post: Quality of Life After Percutaneous Radiofrequency Ablation Dr.Guttler’s comments: 1. Dr.Valcavi’s group studied Forty patients (35 women and 5 men; age, 54.9 ± 14.3 years) with cold...
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