Diagnosed with breast cancer for third time!

Hi, just been diagnosed with locally advanced breast cancer recurrence in armpit lymph nodes. I’m 46 and have already had it twice before. The first time in 2016 aged 36 and then again in 2018 aged 39. I had wide local excision, some lymph nodes removed, radiotherapy and tamoxifen the first time then radical mastectomy with diep reconstruction, some more lymph nodes removed, chemotherapy (EC), other breast removed with implant, ovaries and tubes removed, anastrazole, Zometa bone infusions every 6 months for 3 years(6 in total). Now wondering what treatment I will need. Thank you