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': 'A 46 years old lady has abnormal uterine bleeding with simple hyperplasia of endometrium. The treatment of choice would be: March 2005 \nSelect and explain. \nA. Total Hysterectomy, B. Progestron, C. Estrogen+ progestogen, D. Estrogen', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Ans. A: Total Hysterectomy Stage 0 of endometrial carcinoma-Endometrial hyperplasia Simple endometrial hyperplasia develops malignancy in 10-20 % of cases whereas in atypical hyperplasia develops malignancy in 60-70% Total hysterectomy with removal of both the ovaries is treatment of choice in elderly patients whereas younger patients need progesterone therapy for 6-12 months and lifelong follow-up', 'role': 'assistant'}]