40 yr old female presented with breast lump of size 4 cm with involvement of skin and mobile palpable axilary LN

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40 yr old female presented with breast lump of size 4 cm with involvement of skin and mobile palpable axilary LN, FNAC of lesion showed intraductal carcinoma. What is the initial management of for this pt?

    1. Radiotherapy
    1. Neo-adjuvant chemotherapy
    1. Modified radical mastectomy
    1. Simple mastectomy

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