Ethanol Ablation Instead of Thyroid Surgery for This Large Benign Cystic Thyroid Nodule

Ethanol Ablation Instead of Thyroid Surgery for This Large Benign Cystic Thyroid Nodule?

Is she a candidate?

36 Y/O female has a very large 65 ml ( 6 cm ) visible and symptomatic growing nodule. She is euthyroid. FNA and molecular markers are pending. Prior to deciding on the treatment between ethanol or surgery She had significant local choking symptoms that a simple drainage procedure was done as a temporary treatment to relieve her symptoms. 45 ml of thick brown fluid decompressed the cyst and her pressure symptoms were improved as was the cosmetic aspects. 

Happy patient holding the cyst fluid removed.