Thyroid RFA for Benign Nodules: Relief of Symptoms is the goal not total Ablation with increased risk of complications. The recent use of thyroid RFA for benign nodules has as it’s goal to relief symptoms and improve the cosmetic...More info
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...More info
Dr.Guttler’s Patient Thyroid Blog Post: Information to patients and referring physicians on Thyroid RFA.
Dr.Guttler’s comments: 1. Despite the increasing evidence of safety and efficacy of EA and RFA for benign thyroid nodules, there is still a large variation in the application of the different available techniques among different countries...More info
Testimonial For Dr.Guttler From a Thyroid Cancer Patient ” This is my doctor. He is amazing. I was wary because he has reviews that are not favorable. Upon reading the reviews it’s clear that people have him poor reviews for two...More info
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...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
Thyroid Diseases 101: A Patient’s List Dr.Guttler’s comments: The thyroid is a butterfly-shaped organ that sits in the front of the neck. It makes thyroid hormones triiodothyronine (T3) and thyroxine (T4). Hyperthyroidism is one of...More info
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...More info
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 info
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...More info
Normal 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 info
Patient’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 info