Lump in the left breast. The procedure?

Treatment for breast cancer include surgery as primary treatment and adjuvant Chemotherapy / radiation therapy / hormone therapy depending upon pathological features to complete the treatment. As lump wide excision has been done and it confirm negative margins. But still treatment is not complete. Axillary lymph nodes should also be addressed either by sentinel lymph node biopsy or axillary clearance. If you choose this as breast conservation surgery than radiation therapy is must. If you choose for completion mastectomy than requirement of radiation therapy depends upon pathological stage. Also you need to do ER/ PR/ her 2 neu / Ki 67 IHC testing on excised tissue. To decide regarding requirements for Chemotherapy you need to send me pathology report but most probably it will be required. Apart from.all this information 1st thing to do is to get atleast Xray chest and ultrasound abdomen, pelvis and LFT and to complete the surgery by addressing the axilla