This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'A 75 year of old hypeensive lady has a 2 x 2 cm infiltrating duct cell carcinoma in the subareolar region. There are not palpable lymph nodes and distant metastases. However, she had been treated for pulmonary tuberculosis 20 years ago. The best course of management would be- \nSelect and explain. \nA. Modifed radical mastectomy followed by radiotherapy, B. Modified radical mastectomy followed by 6 cycle of chemotherapy, C. Breast conservation surgery followed by radiotherapy, D. Modifed radical mastectomy followed by hormone therapy', 'role': 'user'}, {'content': "Answer: D \nExplanation: Ans. is 'd' i.e. Modifed radical mastectomy followed by hormone therapy", 'role': 'assistant'}]