<prompt> Clinical stage II of carcinoma breast meansTumor is limited to breastTumor with evidence of distant metastasisTumor is presents in the breast and axillary lymph nods are involvedTumor has involved breast, pectoral muscles and wide area of skin  <response>: .TNM Staging Tumour: 1. T1 --Tumour size 2 cm in greatest diameter. T1a--0.1-0.5 cm; T1b--0.5-1 cm; T1c--1-2 cm. 2. T2--Size 2-5 cm. 3. T3--Size 5 cm. 4. T4--Tumour fixed to chest wall or skin. T4a--Fixed to chest wall; T4b--Fixed to skin; T4c--T4a T4b; T4d--inflammatory carcinoma of breast. Node: N0-- No nodes. N1-- Axillary nodes mobile ipsilateral. N2-- Axillary nodes fixed to one another and other structures or only internal mammary lymph nodes are involved but not axillary nodes. N3 -- Supraclavicular nodes. Oedema of arm and internal mammary lymph nodes ipsilaterally or-internal mammary lymph nodes and also axillary lymph nodes are involved. Metastasis: M0 No metastasis. M1 Distant Metastases. ref:SRB;s manual of surgery,ed 3,pg no 476 