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2) A 45-years old postmenopausal lady presents with an 8-cm | Surgery videos & books

2) A 45-years 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:
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