
Endocrine Neck Ultrasound Laboratory of
Southern California
1328 16 th St Second floor
Santa Monica, CA 90404
Richard Guttler, MD Director
310-458-1638 • 310-395-8147 FAX
thyroid@endocrineneck.com
Procedures:
Real Time endocrine neck ultrasound with power
Doppler
- Diagnostic US
- Pre-operative Lymph node mapping
- Thyroid cancer follow-up lymph node mapping
Ultrasound Guided Ultrasound FNA
- Nodules
- Cysts
- Cancer suspicious lymph nodes with cancer marker washings for:
a. Thyroglobulin
b. Calcitonin
c. Flow cytometry
- Suspect parathyroid adenoma with PTH washings
Ultrasound Guided Therapeutic Interventions:
- Percutaneous Ethanol Injections PEI for thyroid and parathyroid
cysts
- PEI for thyroid cancer lymph node ablation
Dr.Richard Guttler, a thyroid cancer physician
specialist, and thyroid ultrasonographer, is the director of the
Santa Monica Thyroid Center since 1974. Dr. Guttler is the sole
owner of the Endocrine Neck Laboratory of Southern California. This
is an extension of the thyroid center, offering endocrine neck studies
for endocrinologists and others interested in high quality thyroid
studies performed personally by Dr.Guttler.. He is a clinical thyroidologist,
board certified in Endocrinology. Founder, secretary, and past president
of The Academy of Clinical Thyroidologists. He personally treats
thyroid cancer.
At the center, Dr. Richard Guttler uses the ultrasound to diagnose
cancer by guiding the needle into selected areas of the suspicious
nodule. This is called Fine Needle Aspiration Biopsy. He is a thyroid
cytopathologist, member of the American Society of Cytopathology,
and prepares and reads his own biopsy slides. Also, he uses ultrasound
guided ethanol injections, PEI, to treat thyroid nodules that are
cystic, eliminating the need for surgery. PEI is also used to kill
cancer lymph nodes in patients, when surgery is risky option.
Dr. Guttler can help the surgeon locate abnormal nodes in previously operated neck to decrease the risk of complications, by placing a small amount of methylene blue dye on the node one hour before the surgery.
The center uses radiation sparingly, but when it is needed the center can give 150 Millicuries as an outpatient to medium and high risk patients. Low risk cancer patients will not be given radioiodine, as it is not helpful and can cause cancer years later. The nuclear medicine section can treat Graves’ disease, toxic nodular goiters, nontoxic goiters, as well as thyroid cancer.
Hypothyroidism is usually due to Hashimoto’s chronic thyroiditis. Thyroid hormone therapy is needed, to keep the TSH normal, because high TSH is a risk factor for nodules, and cancer in thyroiditis. Finally, low dose radioiodine is an alternative to surgery, for treating large non-toxic goiters, especially in elderly.
Santa Monica Thyroid Diagnostic Center
Dr. Richard B. Guttler, Director
1328 16th Street • Santa Monica CA 90404
Phone: (310) 458 1638 • Fax: (310) 395 8147
Outside California: (800) 408 4909
E-Mail: Dr.Guttler@thyroid.com |