<prompt> In inflammatory carcinoma breast with metastasis to axilla, treatment of choice:NACT MRM RadiotherapyRadical mastectomy plus chemotherapyRadical mastectomy plus radiotherapyChemotherapy followed by hormone therapy  <response>: Hallmark of inflammatory breast Ca is diffuse tumour involvement of dermal lymphatic channel breast overlying skin, often without an underlying tumour mass. Presents with inflammatory changes like erythema, edema peau de orange warmth as a result of lymphatic obstruction. At least 33 skin over breast involved. History of rapid onset progression. Inflammatory breast Ca is a clinical diagnosis can occur with tumour of ductal or lobular histology Inflammatory breast Ca stage T4d, corresponds to stage IIIB i.e. locally advanced breast Ca. Rx: NACT MRM . 