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
Which of the following stage of Breast Ca corresponds with following feature? Breast mass of 6 x 3 cm. size Ipsilateral supraclavicular lymph node Distant metastasis cannot be assessed 
Select and explain. 
A. T4 N3 MX, B. T4 N1 M1, C. T4 N0 M0, D. T3 N3c MX
D: T3 N3c MX
Answer: D: T3 N3c MX 
Explanation: According to TNM staging system for breast cancer, T3: Tumor >5 cm in greatest dimension N3c: Metastasis in ipsilateral supraclavicular lymph node(s) MX: Distant metastasis cannot be assessed Ref: Hunt K.K., Newman L.A., Copeland E.M., Bland K.I. (2010). Chapter 17. The Breast. In F.C. Brunicardi, D.K. Andersen, T.R. Billiar, D.L. Dunn, J.G. Hunter, J.B. Matthews, R.E. Pollock (Eds), Schwaz's Principles of Surgery, 9e.