A patient presents with breast ca. Inspection shows peaud' orange appearance. What is the T stage of the tumor: (A) T2, (B) T3, (C) T4a, (D) T4b
Answer is D. According to TNM staging , primary tumour (T) Tx- cannot be assesed T0- Nevidence of primary tumour. T1-<20mm T2-20 to 50mm T3->50mm T4a- tumour of any size extending to chest wall T4b- ulceaion or ipsilateral satellite nodule / edema with peaud'orange appearence T4c- T4a and T4b T4d- inflammatory carcinoma. SRB's Manual of Surgery.Edition -5. Pg no:539.