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: 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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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...
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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...
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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...
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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