Question normal

An adult female 55 yo presented with obstructive jaundice, recurrent vomiting and loss of appetite, due to 'complete' duodenal and ampulla of Vater obstruction, caused by a big malignant mass "adenocarcinoma", with regional metastasis (showen by sonography and EGD) , what is next in terms of management? (surgery or /and ERCP stenting)?.