Goal is cure.
If complete staging (pet and MRI
brain) show no metastases, then treatment depends on why iiib - either b/c tumor is T4 or nodes are n3.
If no nodes, and t4, may consider lower dose chemort followed by surgery. If n3, then full dose chemort alone. Unfortunately while goal is cure, only achieved in 20%. Get evaluated at an academic center for clinical trials, as many improvements being made!