What is the best course of treatment for this patient? (poll 5636099)

What is the best course of treatment for this patient?

Obtain a biopsy of the mass and exclude cancer

Refer to ophthalmology for intra-orbital steroid injections

Start Prednisone 20 mg/d and switch the methotrexate to azathioprine

Start Prednisone 60mg/d and Rituxan 1 gm, repeat in 2 weeks

None of the above

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