Dr.Guttler’s Thyroid Patient Blog Post: Long-Term Efficacy of a Single Session of RFA for Benign Thyroid Nodules. DR.Guttler’s comments: 1.Two hundred and fifteen patients were included. 2. An early significant reduction of nodule volume...
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Dr.Guttler’s Thyroid Patient Blog Post: PET/CT to Prevent unnecessary Surgery in Follicular Neoplasm with Low PET/CT SUV. Dr.Guttler’s Comments: 1.28/86 had PET/CT. 2. 6/28 had high SUV> 5 were sent to surgey. 3.22/28 had low SUV...
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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: 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 Blog post: Thyroid RFA By JH Baek Classic Paper. Dr.Guttler’s Comments: 1.This is a classic article on Thyroid RFA. 2. Read it and then call me for an evaluation. 3103938860 or thyroid.manager@thyroid.com Ask for...
More info Dr.Guttler’s Patient Thyroid Blog Posts: PET/CT can it Prevent futile surgery on indeterminate thyroid nodules? This paper suggests the answer is yes. E. deKoster et al Eur J. Nucl Med Mol Imaging April 2022 49: 1970-84. Dr.Guttler’s...
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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: Can PET/CT prevent surgery in Class III atypical thyroid nodules? A.Piccardo et al Endocrine 2020 69-533-561 Dr.Guttler’s comments: 1. 111 patients were classified as Class III cytology. 67Class...
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Dr.Guttler’s Thyroid Patient Blog Post: When is Molecular Testing in Class III or IV nodules needed? Almost always! DR.Guttler’s Comments: The study results were that Cytology and Ultrasound were not able alone or together able to...
More info 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 Baek JH et al Int.J. Hyperther Dec 2021 Dr.Guttler’s Comments: 1.The electrode has a micro hole in the tip to inject chilled normal saline at 1.5 ml/minute. 2. The results in 20 patients was comparable to results with the standard...
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