How does clinical intramammary lymph node involvement in HER2+ breast cancer affect your neoadjuvant chemotherapy choice?

The AJCC 8th edition classifies an intramammary node as an axillary node (1). Intramammary nodes are associated with axillary involvement although their independent contribution to recurrence risk remains controversial. Accordingly, I would recommend neoadjuvant TCHP in this case (I drop carboplatin...