.Indications Contraindications of breast conservation surgery are as follows * Lump < 4 cm * Tumour > 4 cm * Clinically negative axillary nodes * Positive axillary nodes > N1 * Mammographically detected lesion * Tumour margin is not free of tumour after breast * Well differentiated tumour with low S phase conservative surgery488 * Adequate sized breast to allow proper to breast * Poorly differentiated tumour * Breast of adequate size and volume * Multicentric tumour * Feasibility of axillary dissection and radiotherapy to intact breast * Earlier breast irradiation * Tumour/breast size ratio is more * Tumour beneath the nipple *Extensive intraductal carcinoma ref: bailey and love 27th ed