This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Breast, Subject name: Surgery
A 40 year female patient presented with a mass 2x2 cm in the right breast. Mammography showed 4 satellite nodules in the same breast. FNAC of the lesion proved to be Carcinoma and all the 4 satellite nodules arc positive for malignancy. Ideal management for her is 
Select and explain. 
A. MRM, B. Breast Conservative surgery, C. Chemotherapy only, D. Simple mastectomy
A: MRM
Answer: A: MRM 
Explanation: Ans. (a) MRM(Ref. Sabiston 20th edition Page 846)* In the presence of Satellite nodules Breast conservative surgery is contraindicated. Only Modified Radical mastectomy is done in this case.