Ultrasound first: The first step would be an ultrasound. If a solid nodule is present, surgery is indicated. If it is cystic, you would have a needle aspiration and biopsy. If the biopsy showed suspicious cells or if the aspiration did not improve your symptoms, you would need surgery.
Answered 5/8/2016
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Get evaluated: An indication to remove the thyroid due to a nodule is if it's already causing compressive symptoms. However, you need to get an ultrasound first to make sure it's a thyroid module causing your complaint and not something else.
Answered 12/26/2019
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