Dr.Guttler’s comments The only way to stop you from losing your thyroid for no reason is to insist evaluation for alternative therapy with thyroid radiofrequency ablation RFA. Read this paper on excess thyroid surgery for benign nodules by...
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 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 infoPatient Roadmap To Achieving Their Goal of Alternative Treatment for Their Thyroid Nodules and Cancer
Thyroid Ablation with Ethanol and Radiofrequency Ablation. Don’t be fooled by ads and websites by hospitals, universities, radiologists, surgeons who are new to Treating thyroid patients with thyroid radiofrequency or ethanol ablation treatment...
More info2022 The Indication For Thyroid Surgery Decreases Further Due to Novel Ablation Procedures For Benign and Thyroid Tumors
Thyroid 32(1) 2022 Tufano RP et al “The year of technical advances in treating nodules and cancer” Dr.Guttler’s comments on this special article on thyroid advances. The number of surgeries for benign nodules has shown a...
More infoWhat the Patient Fears about Having a Thyroid Nodule Evaluation For Cancer and the Needed Treatment.
From the moment the lump in your neck is noted by you, family member or your primary physician, the first thought is do I have thyroid cancer? Will I see my kids grow up? The amount of anxiety, worry and fear increases when you are told you need...
More infoIs Thyroidectomy Still the gold standard for all thyroid nodules,cancer, and metastatic lymph nodes?
20 years of image guided interventional methods have emerged as alternatives for treatment. Ethanol ablation PEI has been accepted as best treatment for thyroid cysts. Thermal ablation has been successful in size reduction of thyroid nodules that...
More infoToxic Nodule Can Be Treated without RadioIodine or Surgery by Radiofrequency Ablation No Scar No Thyroid Hormone or Continued Antithyroid Drugs.
RFA can result in no more use for antithyroid drugs, no scar and no need for thyroid hormone after surgery or RAI/131 therapy. The patient as a 1 cm toxic nodule with elevated T4 and non-detectable TSH on Tapazole to control the hyperthyroidism...
More infoCandidate Screening for Thyroid RFA
In all the procedures I have done with RFA for nodules and cancer I was tricked into doing the procedure on 2 patients who failed to disclose they had a problem that would have resulted in problems if not known before hand. Patient failed to list...
More infoSpecial Offer
Southern California Thyroid Patients If You Have known thyroid nodules and are one of the first ten patients to call you can have a free neck ultrasound by done personally by Dr.Guttler ( $450 ) value. www.ThyroidNoSurgery.com 310-393-8860 Santa...
More infoEthanol PEI/Thyroid RFA treatment of Cysts Depends on the Amount of the Solid component
If there is <10% solid component ethanol ablation is the treatment of choice. 10-50% solid component a combination of PEI and RFA is the preferred therapy. >50% solid thyroid RFA is the preferred therapy. PEI 10% solid nodules 85-95 volume...
More infoThyroid RFA Danger Zones: Not just the “danger triangle”The whole Posterior half of the thyroid gland is a danger area.
Where are the critical Structures? 1.A medial located vagus nerve can be up against the nodule. It is usually located lateral to the carotid in 75%. The middle cervical sympathetic ganglion also can be near the nodule. Recurrent laryngeal nerve...
More info