This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'Concerning fibroids: \nSelect and explain. \nA. Use of GnRH analogues cause permanent reduction in size, B. Pregnancy following myomectomy is about 80%, C. Recurrence rate following myomectomy is about 30%, D. Growth factors (IGF-1, EGF) stimulates myoma to grow', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Option a: Incorrect as regrowth of myoma occurs after 3 months of GnRH therapy\nOption b: Is also incorrect as pregnancy rate following myomectomy is 50–60% and not 30%.\nOption c: Recurrence rate is 1%, 10% and not 30% hence it is also incorrect.\nOption d: “Epidermal growth factor (EGF), insulin like growth factor (IGF 1), transforming growth factor (TGF), stimulate the growth of the leiomyoma either directly on via estrogen” Dutta Gynae 6th/ed p 272. Hence option d is correct.', 'role': 'assistant'}]