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': 'Treatment of simple Endometrial hyperplasia with atypia in a 48 year old woman:- \nSelect and explain. \nA. Hysterectomy, B. Medroxy progsterone acetate, C. Levonorgesterel IUCD, D. Observation', 'role': 'user'}, {'content': 'Answer: A \nExplanation: The incidence of endometrial cancers with Simple hyperplasia with out Atypia is 1% Complex hyperplasia with out Atypia 3% Simple hyperplasia with Atypia 8% Complex hyperplasia with Atypia 29% Treatment Endometrial hyperplasia without atypia : Progesterone therapy should be given, even if the risk of malignancy is less Endometrial hyperplasia with atypia : Total hysterectomy. Here the patient is perimenopausal with an 8 % chance of developing cancer, therefore it is advisable for patient to undergo hysterectomy.', 'role': 'assistant'}]