This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Gynaecological oncology, Subject name: Gynaecology & Obstetrics
[{'content': 'Treatment options for stage IV endometrial carcinoma is : \nSelect and explain. \nA. Only surgery, B. Only chemotherapy, C. Only radiotherapy, D. Surgery, Radiotherapy, Chemotherapy and Hormonal therapy', 'role': 'user'}, {'content': "Answer: D \nExplanation: Treatment for Stage IV endometrial carcinoma is Palliative radiotherapy, chemotherapy and progestogen may prolong life. The study of lymph nodes will determine the need for postoperative pelvic radiotherapy. Reference: Shaw's Textbook of Gynaecology 16th edition page no 512", 'role': 'assistant'}]