What is the ideal treatment for a 55-years female with Simple hyperplasia of endometrium with Atypia :: (A) Simple Hysterectomy, (B) Medroxy Progesterone Acetate (DMPA), (C) Levonorgesterol (LNG), (D) IUCD
Answer is A. With atypia, hysterectomy is the best option There is 25% association with coexisting endometrial carcinoma and a high risk of progression to endometrial cancer Reference : Textbook of Gynaecology; Sheila balakrishnan; 2nd edition; Pg no: 247