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
Treatment options for stage IV endometrial carcinoma is : 
Select and explain. 
A. Only surgery, B. Only chemotherapy, C. Only radiotherapy, D. Surgery, Radiotherapy, Chemotherapy and Hormonal therapy
D: Surgery, Radiotherapy, Chemotherapy and Hormonal therapy
Answer: D: Surgery, Radiotherapy, Chemotherapy and Hormonal therapy 
Explanation: 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