Should all thyroid nodules that are larger than 4cm be removed based solely on their size?

Thyroid nodules are very common, up to 67% of people have them. We assess them with the use of thyroid ultrasound. There are ultrasound criteria called TI-RADS that guide us thyroid surgeons and physicians which nodules should or should not be biopsied. And we act based on the results of the biopsy.