How would you approach the management of a patient with stage IIIA lung adenocarcinoma and multifocal hepatocellular carcinoma with Child-Pugh A cirrhosis?  

The HCC is likely the more pressing diagnosis, but if a multi-focal liver-directed treatment can be used like ablation to all sites of disease, that is appealing and opens up space to treat the lung cancer (likely with chemoRT over surgery). Immunotherapy may be a systemic treatment that could (for ...