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multi nodular goiter

Iam 32 years female teacher
i have multi nodular goiter as per the latest  ultrasonography and  FNAC,  FNAC reported  thyroid bethesda system , Benign follicular Nodule(catagory-2)
and USSG reported  Multi nodular state of thyroid with ( TIRADS-4) NODULES .
any one please advise this is a dangerous goiter ? required surgery or can cure by medicine ?
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