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As far as initial delay in surgery is concerned it is because just to check the nature of thyroid nodulre whether this is benign or malignant , as report of FNAC showed that this is benign lesion , so you should proceed for shoulder surgery , becuase pain of thyroid nodule if there is localized to thyroid area and not in shoulder or usually donot radiate to other area .
Therefore movement of neck and shoulder aggravates pain so culprit is not the thyroid but shoudler so you shouldnot delay and proceed for surgery .
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