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It all depends of the type of the nodule:
thyroid nodule is either a dominant nodule in MNG or a STN. Neck U/S is required to assert the condition being either. The former is treated in same way as MNG; follow up and TSH supressive does of L-troxin. While the latter requires the patient has a FNBC. Further management depends on the result of the cytology. Whereas, beniegn lesions are followed up and papillary cancer is reserved for surgery or radioactive iodine.
I appreciate your consideration to make me this kind of question, however when i refer to Minimal invasive surgery i mean minimal spine surgery, for that i am not in condition to give you an answer about thyroid Nodule. My apologize.