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': 'Endometriosis is commonly associated with: \nSelect and explain. \nA. B/L chocolate cyst of ovary, B. Adenomyosis, C. Fibroid, D. Luteal cyst', 'role': 'user'}, {'content': 'Answer: A \nExplanation: “The ovary is the most common site and involved in 30–40% of cases. The lesion is nearly always bilateral. It sometimes appears as multiple burnt match head spots on the surface of the ovary and sometimes as the typical tarry cysts in a disorganised organ surrounded by dense adhesisions.”\nChocolate cysts of ovary:\n• They are true cysts\n• The cysts enlarge with cyclic bleeding. The serum gets absorbed in between periods and the content inside becomes chocolate, tarry brown in color.\n• Histology\n– Lining epithelium is columnar epithelium.\n– Beneath the epithelium are large macrophages called as pseudoxanthoma cells which have brown cytoplasm due to ingested blood pigments like hemosiderin.\n• Treatment of chocolate cyst/endometrioma.\nLaparoscopic management is the preferred management\nBefore concluding lets rule out other options.\n• Adenomyosis is associated with endometriosis but vice versa is not true; similarly fibroid uterus is associated with endometriosis but vice versa is not true (Ruling out options “b” and “c”).\n• Multiple luteal cysts in the ovary are seen in case of\n– Pregnancy\n– Multiple pregnancy\n– HCG therapy\n– Hydatidiform Mole\n– Choriocarcinoma\nThus option “d” is incorrect.\nThere is no association between endometritis and endometriosis i.e. option “e” is incorrect.', 'role': 'assistant'}]