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What is A 45 years old female presented to the OPD with breast lump of 4 cm in left breast. On examination left axillary lymph nodes were fixed and matted. Which of the following is the preferred treatment option? and explain in detail?
EARLY INVASIVE BREAST Ca: stage I, IIA, IIB Rx: Breast conservation surgery (BCS) Axillary LN sampling (ALNS) Radio therapy If BCS contraindicated: simple mastectomy + ALNS LOCALLY ADVANCED BREAST Ca: stage IIIA, IIIB, IIIC Rx: Neoadjuvant chemotherapy Modified radical mastectomy Radio therapy Metastatic breast Ca Rx : Hormone therapy preferred over chemotherapy