Breast conservation surgery is contraindicated in: (A) Tumor > 4 cm, (B) Multicentric tumor, (C) Axillary LN involvement, (D) All of the above
Answer is D. .Contraindications * Tumour > 4 cm * Positive axillary nodes > N1 * Tumour margin is not free of tumour after breast conservative surgery needs MRM * Poorly differentiated tumour * Multicentric tumour * Tumour/breast size ratio is more (centeral tumour) * Tumour beneath the nipple * Extensive intraductal carcinoma Ref; (page no;553 ) 5th edition of SRB&;S manual of Surgery