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General Medicine General fcd5b365

65yrs old male complains of lump on . side lower back associated with blood in urine, wt. loss and night sweats. On investigation it was diagnosed to be RCC 8cm involving abdominal lymph nodes but no distant metastasis. What should be most appropriate management of this patient?

A
Radiation followed by nephrectomy
B
Chemotherapy
C
Radiation
D
Radical nephrectomy

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