The report is suggestive of metastatic carcinoma ,means it's a type of cancer which can spread , you need an oncologist who can remove it and the oncologist may advise you pet scan before doning any surgeries as one of the initial steps because he wants to see that the cancer has already spread to any part of the body or not ,so please get the pet scan done .
Next Steps
Its a life threatening situation please take the needed steps timely as time is crucial in such cases.