RFA for Thyroid Nodules and Cancer:: Transformative Therapy With Abuse Risks. Endocrine Practice 28( 2022) 233-234. Haymart MR et at Dr.Guttler’s comments. 1. RFA can and will change how we care for patients with nodules and cancer in the...
More infoWhat you need to know when you are seeing the physician after a thyroid nodule or cancer diagnosis.
Humane treatment during the diagnosis and treatment for nodules and cancer is your right. Many physicians are only interested in outcomes and do not treat the whole patient. They make it possible for you to have heightened stress, anxiety, fear...
More infoThe Patient’s Quality of Life and Emotional Issues with the Diagnosis of Thyroid Nodules and Cancer
Dr.Guttler’s comments: There is the need for physicians to plan how to address their patients about thyroid nodules and cancer to lessen stress and emotional damage. All physicians taking care of thyroid patients with the prospect of...
More infoWhat to Do When You are nervous about the finding of a possible cancer nodule in your neck?
1. Thyroid nodule: how is it diagnosed? The presence of goiter and thyroid nodules does not give rise to specific symptoms, unless the size is such that it causes compression of the trachea or oesophagus, leading to swallowing or breathing...
More infoIs Thyroid Radiofrequency Ablation Right for Treatment of Your Small Papillary thyroid cancer instead of thyroid surgery?
Dr.Guttler’s Comments: The answer is yes in selected cases. The Kaplan–Meier curves of follow-up in both groups. 1.In conclusion, this study of carefully selected PTMC, RFA did not have inferior oncologic outcomes after 5 years of follow-up...
More infoMicro-papillary thyroid cancer: Alternative Non-surgical treatment? Just like Real Estate it’s Location,Location,Location
Dr.Guttler’s comments:The recurrent nerve on the right is posterior to the right lobe and the LRN is in the danger triangle.FIG. 1. Expected course of the right and left RLNs relative to the in situ thyroid gland. The left RLN passes deep...
More infoSkin Metastasis From Papillary Thyroid Cancer: Another Use for Radiofrequency Ablation RFA instead of Surgery.
Dr.Guttler’s comments: 1. Skin metastatic disease is rare in papillary thyroid cancer. She had only thyroidectomy only 30 years ago. 2. This report of a single case with review of the previous reported cases. 3.The patient had symptoms of...
More infoNormal Ectopic Thyroid Masquerading as recurrent thyroid cancer in Lateral neck lymph node.What Went Wrong needing major thyroid and neck dissection surgery, and lifetime thyroid hormone therapy.
Benign Ectopic Thyroid BET in the Lateral (Level II) Neck Compartment Dr.Guttler’s Comments: Image of a Cutting Needle biopsy of the wall of a cystic nodule as seen here could have proved it was benign normal thyroid tissue...
More infoRFA for Recurrent Thyroid Cancers: Anatomy-Based Management
Baek JH et al Leading expert in RFA use for thyroid nodules and cancer has an accepted publication in Ultrasonography I have seen the article and here are my thoughts Dr.Guttler’s comments: 1. Thyroid cancers usually have good prognosis. 2...
More infoPatient’s Guide to Available Thyroid and Neck Ablation For Nodules,Cysts, Parathyroid Adenoma and Cancer
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 infoMumps vs Thyroid Cancer?
Dr.Guttler’s Comments: 1. A neck mass in an adult is not usually mumps, but a 22 year old student with a mumps outbreak at her school was not wrong to think she had mumps. 2. She had a thyroid nodule that was proven to be thyroid cancer. 3...
More infoWe 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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