Multi-select problem: How does the next paragraph end?

How to treat breast and extramammary paget's disease
Undergo breast-conserving surgery if you don't have a lump.
If you have paget's disease but do not have a lump, you may be able to undergo a surgery that saves the breast. Your nipple and areola will be removed, but the breast will remain intact.

Options are: a). At surgery, there will be substantial scarring from the nodules surrounding the lump. The scarring will be removed immediately by a doctor. b). The incision will be smaller at the mammary cancerous site and deeper at those cancerous masses. Doctors ask patients if they would require surgery if they have a lump, they may recommend it. c). The surgeon will take care of the rest, so as to ensure only the lump remain intact. The surgeon may place a topical cream on your breast or areola to infuse with milk from the lump. d). You may also need to get surrounding tissue removed near the nipple area. Get a mastectomy if you have a tumor.
d).