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175668 Medicine

A 53-year-old woman presents with a 1-cm invasive carcinoma of the breast, detected on mammography. She feels well and has no other symptoms. On examination the lump is palpable, and there are no axillary lymph nodes. Which of the following is the most appropriate local therapy for her tumor?

Asimple mastectomy with axillary dissection
Bradiation therapy to breast and axilla
Clocal excision plus radiation therapy
Dlocal excision and axillary dissection followed by radiation therapy
Medicine
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