Fistula in ano with hypertension

43 years male patient is suffering from fistula in ano and hypertension since (7-8 )years b.p 150/94mm of Hg.Hard tumour on head. Stool-constipation with foul smell.urine-Normal, sweat-profuse with foul smell. Please advise your best opinion.

Inorder to judge the scope of our treatment, I think we have to assess the pathology properly, like the tumor on head. Rest Sir@Dr. Kanchan Kumar Sen you are senior do guide us.
Biopsy report of tumor normal Others /n,s

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