A 43-year-old woman presents to the GP with a confirmed diagnosis of endometrial hyperplasia with atypia on Pipelle biopsy. She has completed her fami...

Question

A 43-year-old woman presents to the GP with a confirmed diagnosis of endometrial hyperplasia with atypia on Pipelle biopsy. She has completed her family. Which is the single most appropriate management?

Accepted Answer

Refer for total hysterectomy as first-line due to the significant risk of coexistent or progression to endometrial cancer

Answer

LNG-IUS (Mirena) and repeat biopsy at 6 months

Answer

Prescribe cyclical progestogens and review in 12 months

Answer

Observe and repeat biopsy in 3 months without treatment

Answer

Commence combined HRT

uk-drcog MCQ (SBA): Endometrial Hyperplasia with Atypia - Hysterectomy

A 43-year-old woman presents to the GP with a confirmed diagnosis of endometrial hyperplasia with atypia on Pipelle biopsy. She has completed her family. Which is the single most appropriate management?