M. conzattii is a synonym of M. karwinskiana, and though it is supposed to have rather more angled tubercles than M. karwinskiana, there seems little to suggest it is actually any different.
M. karwinskiana is a pretty variable species, and has had a number of separate re-descriptions because of this, but none really stand up to scrutiny.
The older description of M. karwinskiana (1832) clearly predates that of M. conzattii (1923) so though the name might linger, unless you know the plant's pedigree, M. conzattii for it is probably best discarded.
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Chris43, moderator