This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology and breast, Subject name: Surgery
Traetment of breast cancer with pregnant lady in first trimester 
Select and explain. 
A. Neoadjuvent chemotherapy + Surgery, B. Breast conservation, C. MTP followed by treatment according to protocol, D. Radiotherapy
C: MTP followed by treatment according to protocol
Answer: C: MTP followed by treatment according to protocol 
Explanation: 1st trimester MRM (modified radical mastectomy) If axillary node is +ve then pregnancy is terminated; (MTP), chemotherapy is given Second trimester; MRM,Chemotherapy carefully Third trimester; MRM, After delivery, chemotherapy with suppression of lactation Ref; (page no; 561) 5th edition of SRB&;S manual of Surgery.