This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Gynaecological oncology, Subject name: Gynaecology & Obstetrics
[{'content': 'What should the initial management of atypical hyperplasia be? \nSelect and explain. \nA. Cyclical progestogens, B. Continuous progestogens, C. MIRENA, D. Hysterectomy', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Women with atypical hyperplasia should undergo a total hysterectomy because of the risk of underlying malignancy or progression to cancer.A laparoscopic approach to total hysterectomy is preferable to an abdominal approach as it is associated with a shoer hospital stay, less postoperative pain and quicker recovery.Reference: RCOG Guidelines on endometrial hyperplasia', 'role': 'assistant'}]