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
Stage IV endometrial carcinoma, treatment is : 
Select and explain. 
A. Surgery, B. Radiotherapy, C. Chemotherapy, D. Radiotherapy, Chemotherapy and hormonal therapy
D: Radiotherapy, Chemotherapy and hormonal therapy
Answer: D: Radiotherapy, Chemotherapy and hormonal therapy 
Explanation: Radiotherapy, Chemotherapy and hormonal therapy