A 46 years old lady has abnormal uterine bleeding with simple hyperplasia of the tissue represented by an arrow in the picture below The treatment of choice would be ?
A. Total Hysterectomy.
C. Estrogen+ progestogen.
The tissue shown in the picture above represents Endometrium.The treatment of choice for the above case would be 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.