This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Gestational Trophoblastic Disease, Subject name: Gynaecology & Obstetrics
[{'content': 'A 40 years old P4+2 female has been diagnosed to have H mole. The treatment would be: \nSelect and explain. \nA. Radiotherapy, B. Chemotherapy, C. Total hysterectomy, D. Radio chemotherapy', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Ans. is c, i.e. Total hysterectomyRef. Dutta Obs. 7/e, p 195; COGDT 10/e, p 889, William Obs. 23/e, p 261, 24/e, p 401"If no further pregnancies are desired, hysterectomy may be preferred to suction curettage. It is a logical procedure in women aged 40 or older because atleast a third of these women will go on to develop gestational trophoblastic neoplasia." --William Obs 23/e, p 261Remember: Hysterectomy only decreases the chances of malignancy in cases of hydatidiform mole and does not eliminate the necessity of follow-up.', 'role': 'assistant'}]