What is your initial treatment strategy for patients with TNBC who present with isolated bulky axillary and cervical adenopathy?  

I assume that the question applies to a patient with bulky axillary and ipsilateral cervical adenopathy, with or without a demonstrable mass in the ipsilateral breast, and without overt metastatic disease elsewhere in the body. While the presence of cervical (not supraclavicular) nodes is considered...