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149233 Surgery

A 75 year of old hypeensive lady has a 2 x 2 cm infiltrating duct cell carcinoma in the subareolar region. There are not palpable lymph nodes and distant metastases. However, she had been treated for pulmonary tuberculosis 20 years ago. The best course of management would be-

AModifed radical mastectomy followed by radiotherapy
BModified radical mastectomy followed by 6 cycle of chemotherapy
CBreast conservation surgery followed by radiotherapy
DModifed radical mastectomy followed by hormone therapy (Correct Answer)