68-year-old retired carpenter complains increasing fatigue,…

68-year-old retired carpenter complains increasing fatigue, nausea, intermittent headaches, and a recent fall (no significant injury).  Symptoms worsening over 2 weeks.   Past Medical History:  Chronic obstructive pulmonary disease (COPD), hypertension (well-controlled with Lisinopril). 40-pack-year smoking history for 15 years. Physical exam:  Mildly confused, disoriented to date. Slows to respond to questions. BP 125/80 mmHg, HR 72 bpm (regular), RR 16/min, Temp 36.8°C, SpO2 96% Cardiovascular, respiratory system normal. Na+: 118 mmol/L (Ref: 135-145) K+: 4.0 mmol/L (Cl-): 88 mmol/L HCO3-: 24 mmol/L Glucose: 98 mg/dL  Serum Osmolality: 220 mOsm/kg (Ref: 275-295) Urine Studies: Urine Sodium 55 mmol/L (High) Urine Osmolality 520 mOsm/kg (High) Chest X-ray shows mass in left lung highly suspicious for malignancy. What is the most appropriate medical treatment of this patient?