This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endometrial Carcinoma and Hysterectomy, Subject name: Gynaecology & Obstetrics
[{'content': '62-year-old woman has postmenopausal bleeding after 13 years of menopause. She has hypeension and type 2 diabetes mellitus. An endometrial biopsy is performed that shows grade I endometrial adenocarcinoma. Which of the following is the most appropriate next step in management? \nSelect and explain. \nA. Chemotherapy, B. Cone biopsy, C. A Dilatation and Curretage, D. Hysterectomy', 'role': 'user'}, {'content': 'Answer: D \nExplanation: The patient has been diagnosed endometrial adenocarcinoma on biopsy The next step is to perform a staging laparotomy which involves the following Total abdominal hysterctomy + bilateral salpingo-oophorectomy Peritoneal cytology Omentectomy + appendicectomy + peritoneal biopsy: for non endometroid cancer Selective pelvic and para aoic lymphadenectomy', 'role': 'assistant'}]