A 60-year-old female, no medical comorbidity, cT2N1M1..skin tethered, Small breast to tumor ratio, strongly ER/PR positive, Her 2Neu negative, Ki67 8-10%, oligometastatic with single L1 vertebral lesion... How to proceed further?

Patient keen on breast conservation 1) Upfront surgery 2) NACT followed by surgery 3) NAHT followed by surgery