DR.Guttler’s Patient Thyroid Blog Post: More extensive total thyroidectomy than is needed in 50% of Cases with class V cytology. Dr.Guttler’s comments: 25%-50% of Bethesda V thyroid nodules may be benign, noninvasive follicular...
More infoDr.Guttler’s comments: Most thyroid cancers are low risk papillary thyroid cancers. Follicular and medullary are intermediate risk. The worst one is anaplastic and Putin would be dead by now. Only Putin would have a thyroid cancer surgeon...
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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 #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...
More infoHumane treatment during the diagnosis and treatment for nodules and cancer is your right. Many physicians are only interested in outcomes and do not treat the whole patient. They make it possible for you to have heightened stress, anxiety, fear...
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Dr.Guttler’s Comments: 1. A neck mass in an adult is not usually mumps, but a 22 year old student with a mumps outbreak at her school was not wrong to think she had mumps. 2. She had a thyroid nodule that was proven to be thyroid cancer. 3...
More infoDr.Guttler’s comments: Thyroid surgery is the primary treatment for thyroid cancer. This article is about a famous singer who lost his voice for months when he could not sing a note! However, there are alternatives if the cancer is small or...
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Endocrine Practice 27(2021) p. 682-690 Zhang F. et al DR.Guttler’s comments: Location within the thyroid lobes is studied in this paper. 604 nodules were studied. 37/604 were cancers. Upper pole nodules had the highest number of cases of...
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No Country for Aggressive Operators: Do No Harm When Treating Patients with Benign Thyroid nodule with Radiofrequency Ablation RFA. It takes years of experience to go for total ablation of large thyroid nodules. The risk of injury increases with...
More infoPapillary Thyroid Cancer: Positive Thyroid Antibodies associated with less lymph node and extra-thyroidal extension and better prognosis. DR. Guttler’s Comments: Study of 4000 patients that had thyroid surgery. 3000 were diagnosed...
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