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Gynaecology & Obstetrics Miscellaneous (Gynae) 704e4e0d

A 55-year-old postmenopausal lady with simple endometrial hyperplasia with atypia. What is the management?

A
Hysterectomy
B
Mirena
C
Progestin
D
Estrogens
High-Yield Explanation
Ans. is a i.e. Hysterectomy* Women with atypical hyperplasia should undergo a total hysterectomy because of the risk of underlying malignancy or progression to cancer.* A laparoscopic approach to total hysterectomy is preferable to an abdominal approach as it is associated with a shorter hospital stay, less postoperative pain and quicker recovery.* Postmenopausal women with atypical hyperplasia should be offered bilateral salpingo oophorectomy together with the total hysterectomy.

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