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: Radiofrequency Ablation for Thyroid Papillary Microcarcinoma Dr.Guttler’s comments: 1. Dr Allen Ho came to my center to observe a patient of mine having thyroid RFA for a thyroid nodule. Now he...
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Dr.Guttler’s Patient Thyroid Blog Post: Radiofrequency Ablation of Papillary Thyroid Micro-carcinoma. Dr.Guttler’s Comments: 1.Incidental finding pre-op bariatric surgery found a < 1 cm suspicious nodule. A before the RFA B shows...
More info DR.Guttler’s Patient Thyroid Blog Posts: Patients’ Treatment Choice for Low Risk Thyroid Cancer. DR.Guttler’s comments: Low risk thyroid cancer is a quality of Life issue. What option has the best options related to improving...
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Dr. Richard Guttler’s Patient Thyroid Radiofrequency Ablation Blog Post This is a blog dedicated to helping patients with the anxiety causing problem of determining if they need surgery for their thyroid solid or cystic benign nodule, thyroid...
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Dr.Guttler’s comments: Complications, Protocol, Follow up and Conclusions 1. Complications are not common with treatment of small thyroid cancers but do occur. 2.RFA has an excellent safety profile for small thyroid cancers and benign...
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Dr.Guttler’s comments: 1. Surgery was historically the treatment of choice for most thyroid cancer. 2.Active surveillance has emerged as an alternative for low-risk thyroid cancer in select patients. 3. However, not all patients want to...
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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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Dr.Guttler’s comments: Your Quality of Life can be affected just from that results of the thyroid surgery regardless of the thyroid disease prompting the surgery. Always get multiple opinions before any thyroid surgery especially if the...
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Dr.Guttler’s #6 Patient’s Thyroid Blogpost: Small Micro-papillary Thyroid Cancer Treatment Options: 1.Surgery 2. Active Surveillance AS 3. RFA Ablation. Biopsy positive micro-papillary at 4.4 mm and 0.036 ml. Method # 3 RFA Case...
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