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
Carcinoma breast spreads by all of the following veins hematogenously except - 
Select and explain. 
A. Internal mammary vein, B. Axillary vein, C. Intercostal veins, D. Epigastric veins
D: Epigastric veins
Answer: D: Epigastric veins 
Explanation: Ans. is 'd' i.e., Epigastric veins o Venous drainage of breast is through axillary, internal mammary and intercostal veins providing three major routes of hematogenous metastasis.