The GP organises the blood requested urgently.
wbc – normal
plt – normal
blood film – normocytic anaemia
Urea – 18 mmol/L
creat- 320 mmol/L
LDH – 765
You admit the patient urgently for staging CT.
CT shows – 10cm x3.5cm retroperitoneal mass invading the right kidney. Splenomegaly. Widespread lymphadenopathy is present – bilateral inguinal lymph nodes, intra- abdominal lymphadenopathy, as well as a 2 cm lymph node in the right axilla.
Radiology have agreed to undertake a biopsy under USS guidance of the axillary lymph node.
PET appt is in 3 days.
how would you manage this patient currently?