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Surgery
A 45 year old postmenopausal lady presents with an 8 cm breast lump that is adherent to the skin, with one firm apical lymph node in the axilla and one more node in the ipsilateral supraclavicular area with no clinical evidence of distant metastasis. The staging is
T3 N2 M1
T4 N3c M0
T4 N2c M1
T3 N3 M0
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