This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Pathology
Type 2 endometrial carcinoma is associated with ? 
Select and explain. 
A. hyperplasia, B. hyperophy, C. metaplasia, D. atrophy
D: atrophy
Answer: D: atrophy 
Explanation: Classification of endometrial carcinoma : TYPE 1 * Associated hyperestrogenism. * Associated with hyperplasia. * Patients usually peri-memopausal. * Estrogen & progesterone receptors common. * Usually endometrioid & mucinous subtypes. * Favourable prognosis. TYPE 2 * Not related to hyperestrogenism. * Usually atrophic endometrium. * Postmenopausal patients. * Estrogen & progesterone receptors uncommon. * Usually serous or clear cell subtypes. * Aggressive, poor prognosis. ref : robbins book of pathology 10th ed