<prompt> What is the ideal treatment for a 55-years female with Simple hyperplasia of endometrium with Atypia :Simple HysterectomyMedroxy Progesterone Acetate DMPALevonorgesterol LNGIUCD  <response>: With atypia, hysterectomy is the best option There is 25 association with coexisting endometrial carcinoma and a high risk of progression to endometrial cancer Reference : Textbook of Gynaecology; Sheila balakrishnan; 2nd edition; Pg no: 247 