This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'A patient presents with a unilateral ca breast of 4 cm size with skin ulceration involving the nipple. On palpation axillary lymph nodes are positive. Management would involve: \nSelect and explain. \nA. Breast conserving procedure, B. Simple mastectomy, C. Modified radical mastectomy, D. Palliative treatment', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Here this patient is having Stage III disease (T4, N1 or N2, M0) according to the TNM table given above. Hence the management would be - Neoadjuvant chemotherapy + MRM + adjuvant radiation therapy + chemotherapy + antiestrogen therapy', 'role': 'assistant'}]