Do breast nodules have to be operated on?

Surgery is not necessary, but I suggest you do it. The treatment of breast nodules can be conservative observation or surgical treatment. The extremes of the two choices are missed diagnosis of breast cancer and over-treatment of benign diseases, and the choice needs to be made by doctors and patients themselves. From your comprehensive situation, the nodule is more like a new organism than hyperplasia, and it is 40 years old. This kind of nodule should be treated actively. For reference.