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
A 48-year-old post-menopausal 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 in Ipsilateral. The supraclavicular region with no distant mets clinically. TNM staging is: 
Select and explain. 
A. T3N2M0, B. T4N3CM0, C. T4N2CM0, D. T3N3M0
D: T3N3M0
Answer: D: T3N3M0 
Explanation: None