Dr. Richard Guttler
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Thyroid No Surgery

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Dr.Guttler’s Patient Thyroid Blog Post #19 The Revolution Continues: Small Thyroid Cancers Don’t Need Surgery!

Posted March 16, 2022 by Dr Guttler
122
Dr.Guttler’s Patient Thyroid Blog Post #19 The Revolution Continues: Small Thyroid Cancers Don’t Need Surgery!

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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We lost a great advocate who advanced thyroid disease diagnosis and treatment.

Posted February 3, 2022 by Dr Guttler
201
We lost a great advocate who advanced thyroid disease diagnosis and treatment.

DR. Guttler’s Comments: Dan was a corporate type in addition to being a great physician. He was my guiding light who helped push for change in how we treat thyroid nodules and cancer.He even promoted my plan to get endocrinologists to the...

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Is It Papillary Thyroid PTC Cancer? Or a Benign Trabecular Adenoma HTT?

Posted January 29, 2022 by Dr Guttler
205

Dr.Guttler’s Comments: This paper describes how a specific genetic is the hallmark of a rare thyroid nodular disease that mimics papillary thyroid cancer and in the past resulted in surgery to make the diagnosis. Many patients suffered the...

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Patient Roadmap To Achieving Their Goal of Alternative Treatment for Their Thyroid Nodules and Cancer

Posted January 24, 2022 by Dr Guttler
366
Patient Roadmap To Achieving Their Goal of Alternative Treatment for Their Thyroid Nodules and Cancer

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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Nerve Damage and Voice changes rates of RLN injury during thyroidectomy range from 0.3 to 8%!

Posted January 21, 2022 by Dr Guttler
324
Nerve Damage and Voice changes rates of RLN injury during thyroidectomy range from 0.3 to 8%!

Dr.Guttler’s comments: To prevent this serious complication, make sure you absolutely need the surgery. A total of 1000 RLNs from 574 patients were assessed in this review. Nearly one-quarter (23%) of the RLNs deviated from their...

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Dr Valcavi’s TNT Association’s Thyroid Nodule Therapies April 9th 2022 Webinar

Posted January 21, 2022 by Dr Guttler
328
Dr Valcavi’s TNT Association’s  Thyroid Nodule Therapies April 9th 2022 Webinar
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New Rules for < 4 cm Low/Medium Risk Papillary Thyroid Cancers Without Lymph Node by Imaging.

Posted January 19, 2022 by Dr Guttler
303
New Rules for < 4 cm Low/Medium Risk Papillary Thyroid Cancers Without Lymph Node by Imaging.

Thyroid (1) 2022 Tuttle RM et al Dr.Guttler’s comments: Study looked at 943 lobectomy cases matched with 943 patients with a total thyroidectomy for outcomes. At ten years there was no difference what surgery they had. Previous article by...

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2022 The Indication For Thyroid Surgery Decreases Further Due to Novel Ablation Procedures For Benign and Thyroid Tumors

Posted January 19, 2022 by Dr Guttler
341
2022 The Indication For Thyroid Surgery Decreases Further Due to Novel Ablation Procedures For Benign and Thyroid Tumors

Thyroid 32(1) 2022 Tufano RP et al “The year of technical advances in treating nodules and cancer” Dr.Guttler’s comments on this special article on thyroid advances. The number of surgeries for benign nodules has shown a...

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Thyroid No Surgery: List of All Diseases With Low Risk Alternative Ablation Therapy Available at My Center

Posted January 10, 2022 by Dr Guttler
360
Thyroid No Surgery: List of All Diseases With Low Risk Alternative Ablation Therapy Available at My Center

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...

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What the Patient Fears about Having a Thyroid Nodule Evaluation For Cancer and the Needed Treatment.

Posted January 7, 2022 by Dr Guttler
345
What the Patient Fears about Having a Thyroid Nodule Evaluation For Cancer and the Needed Treatment.

From the moment the lump in your neck is noted by you, family member or your primary physician, the first thought is do I have thyroid cancer? Will I see my kids grow up? The amount of anxiety, worry and fear increases when you are told you need...

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Continuous Infusion of Dextrose to Protect Vital Structures During Thyroid Radiofrequency Ablation Procedures.

Posted January 7, 2022 by Dr Guttler
322
Continuous Infusion of Dextrose to Protect Vital Structures During Thyroid Radiofrequency Ablation Procedures.

When do we need to use continuous infusion D5W for adequate hydrodissection protective effects? Ma Y. et al Eur. Thyroid Journal October 2021 DR. Guttler’s Comments on the article: Single bolus of D5W has a short half life in the body...

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Anatomy Based Management of RFA for Recurrent Thyroid Cancer

Posted January 6, 2022 by Dr Guttler
338
Anatomy Based Management of RFA  for Recurrent Thyroid Cancer

Skin involvement with recurrent thyroid cancer.

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Dr.Guttler’s Patient Thyroid Blog Post: New Drug for Graves’ Thyroid Eye Disease TED
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