<prompt> Conservative surgery is not done in breast carcinoma if there is?Lymph node metastasisSub-areolar lumpLump of size 4 cmsDisease involving the lower quadrant only  <response>: ANSWER: B sub-areolar lumpREF: Harrison s principles of internal medicine 17th ed chapter 86Breast-conserving surgery is not suitable for all patients: it is not generally suitable for tumor 5 cm or for smaller tumors if the breast is smallFor tumors invoking the nipple areola complex.For tumors with extensive intraductal disease involving multiple quadrants of the breastFor women with a history of collagen-vascular disease.Do not have convenient access to radiation therapy.Women who either do not have the motivation for breast conservation 