ARJ
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A 58-year-old woman comes to the physician because of a 3-year history of increasing menstrual flow. She has not had hot flashes, insomnia, or change in bowel or bladder function. Her last menstrual period was 3 weeks ago. Pelvic examination shows a normal-appearing vulva, vagina, and cervix. The uterus is consistent in size with an 9-week gestation. Bimanual examination shows a 5-cm, firm, nontender left ovary. An endometrial biopsy specimen shows atypical complex endometrial hyperplasia. Which of the following is the most likely cause of this patient's hyperplasia?
A ) Adrenal adenoma
B ) Brenner tumor
C ) Carcinoid tumor
D ) Granulosa cell tumor
E ) Hyperthecosis
F ) Islet cell tumor
G ) Sertoli-Leydig cell tumor
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| DrS
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D ) Granulosa cell tumor
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| chemamr
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D
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| phuluong2k
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D
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