This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Breast Cancer - Types and Staging, Subject name: Surgery
[{'content': 'On which of following does prognosis in male breast Ca depend. \nSelect and explain. \nA. Duration of disease, B. Nipple discharge, C. Ulceration of nipple, D. Lymph node status', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Ans is \'d\' ie. Lymph node status Lymph node status is the best prognostic indicator in both females as well as males."The presence of nodal metastasis appears to have at least the same prognostic power in male as in women." - Sabiston, 16/e"The negative prognostic factors for breast cancer in men are the same as in women and include nodal involvement, tumor size, histologic grade, and hormone receptor status." - Sabiston 18/e, p 886', 'role': 'assistant'}]