Dr. Manoj Panda (Internal Medicine) needs a second opinion on this medical case.
A 29 y/o female presents with hematuria and right-sided flank pain for 4 days.
Radiography shows a 10 cm right mass in the right kidney diagnosed to be renal cell carcinoma (RCC) along with hilar lymphadenopathy.
She also had multiple lesions in the liver. FNAC shows metastases.
Advise further steps.