Hi, welcome to HCM i am Dr Das
First of all, only clinical suspicion of cancer hasno importance. You have to confirm either cytology or biopsy
report before deciding treatment schedule. Because if the sstatus of the tumor
is not known , the method of surgery like what tissues to be removed can not be decided. Depending upon biopsy report sometimes a course of chemotherapy
can be given before surgery which will reduce the tumor burden.
So, first stage is to be determined.