A 46 years old lady has abnormal uterine bleeding with simple hyperplasia of endometrium. The treatment of choice would be: March 2005
Ans. A: Total Hysterectomy Stage 0 of endometrial carcinoma-Endometrial hyperplasia Simple endometrial hyperplasia develops malignancy in 10-20 % of cases whereas in atypical hyperplasia develops malignancy in 60-70% Total hysterectomy with removal of both the ovaries is treatment of choice in elderly patients whereas younger patients need progesterone therapy for 6-12 months and lifelong follow-up
Total Hysterectomy
Progestron
Estrogen+ progestogen
Estrogen