This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: AIIMS 2018, Subject name: Gynaecology & Obstetrics
Treatment of simple endometrial hyperplasia with atypia in 45 yr female: 
Select and explain. 
A. Hysterectomy, B. Progestin, C. Mirena, D. Postmenopausal women
A: Hysterectomy
Answer: A: Hysterectomy 
Explanation: Risk of malignancies Management Simple Hyperplasia without Atypia- 1% Complex Hyperplasia without Atypia- 3% Progestin Therapy Simple Hyperplasia with Atypia- 8% Complex Hyperplasia without Atypia - 29% Hysterectomy Hysterectomy is the best treatment at any age with atypical endometrial hyperplasia because of the risk of invasive cancer.