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1

Shen, Dan-Hua, Ui Soon Khoo, Hextan Y. S. Ngan, et al. "Coexisting Epithelioid Trophoblastic Tumor and Choriocarcinoma of the Uterus Following a Chemoresistant Hydatidiform Mole." Archives of Pathology & Laboratory Medicine 127, no. 7 (2003): e291-e293. http://dx.doi.org/10.5858/2003-127-e291-cettac.

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Abstract The epithelioid trophoblastic tumor is an unusual type of trophoblastic tumor. Herein, we describe a patient with coexisting epithelioid trophoblastic tumor and choriocarcinoma in the uterus. The patient had a history of hydatidiform mole with recurrent elevation of human chorionic gonadotrophin level that is resistant to chemotherapy. Histopathologic and immunohistochemical examination showed distinctive differences between the 2 trophoblastic tumors. The development of epithelioid trophoblastic tumor may be related to the persistence of locally invasive disease, which was unresponsi
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2

Shih, Ie-Ming, and Robert J. Kurman. "Epithelioid Trophoblastic Tumor." American Journal of Surgical Pathology 22, no. 11 (1998): 1393–403. http://dx.doi.org/10.1097/00000478-199811000-00010.

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3

McGregor, Stephanie M., Larissa V. Furtado, Anthony G. Montag, Rebecca Brooks, and Ricardo R. Lastra. "Epithelioid Trophoblastic Tumor." International Journal of Gynecological Pathology 39, no. 1 (2020): 8–18. http://dx.doi.org/10.1097/pgp.0000000000000563.

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4

Keser, Sevinc Hallac, Sermin Coban Kokten, Caglar Cakir, Sibel Sensu, Esra Esim Buyukbayrak, and Nimet Karadayi. "Epithelioid trophoblastic tumor." Taiwanese Journal of Obstetrics and Gynecology 54, no. 5 (2015): 621–24. http://dx.doi.org/10.1016/j.tjog.2015.08.020.

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5

Theodossiadis, Panagiotis, Alexandros Rouvas, Lydia Nakopoulou, Panagiotis Halvatziotis, Christina Magkou, and Ioannis Vergados. "Epithelioid Trophoblastic Tumor." Ophthalmology 114, no. 7 (2007): 1421–1421. http://dx.doi.org/10.1016/j.ophtha.2007.04.002.

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6

Ohira, Satoshi, and Tanri Shiozawa. "Epithelioid trophoblastic tumor." Placenta 35, no. 10 (2014): A5. http://dx.doi.org/10.1016/j.placenta.2014.08.018.

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7

Lo, C., I. Low, A. L. Tan, and J. Baranyai. "Epithelioid trophoblastic tumor: a case report." International Journal of Gynecologic Cancer 16, no. 3 (2006): 1473–76. http://dx.doi.org/10.1136/ijgc-00009577-200605000-00085.

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Epithelioid trophoblastic tumor is a rare and distinctive pathologic entity within the complex family of gestational trophoblastic disease. We describe a case of epithelioid trophoblastic tumor occurring in a 34-year-old woman, who presented with a large uterine tumor 3 years following an uncomplicated pregnancy. The clinicopathologic findings in this case are typical of this unusual entity and consistent with current literature, with the exception of negative beta-human chorionic gonadotrophin levels. The distinguishing features from other intermediate trophoblastic tumors and tumor-like lesi
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8

Schoolmeester, J. Kenneth, David Schembri-Wismayer, and Lori A. Erickson. "Uterine Epithelioid Trophoblastic Tumor." Mayo Clinic Proceedings 96, no. 11 (2021): 2925–26. http://dx.doi.org/10.1016/j.mayocp.2021.09.009.

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9

Akakpo, Patrick K., Kofi Ulzen-Appiah, Evans Agbeno, and Leonard Derkyi-Kwarteng. "Diagnosing and treating rare lesions in a low resource setting: lessons from a hybrid epithelioid trophoblastic tumor and choriocarcinoma." Ghana Medical Journal 51, no. 4 (2018): 196–99. http://dx.doi.org/10.4314/gmj.v51i4.9.

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Objective: To raise awareness of the existence of a rare type of malignant trophoblastic tumor and discuss the diagnostic challenges and management of this lesion in a low resource setting.Case report and intervention: A 35 -year -old G6P3 woman was referred to our facility on account of persistent vaginal bleeding due to a suspected incomplete miscarriage with a cervical mass. Her serum β-HCG was elevated (36,900 mIU/ml) and examination showed a bleeding cervical mass. An initial histopathological diagnosis of moderately differentiated squamous cell carcinoma was reviewed to epithelioid troph
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10

Giusti, A. M. F., A. Terron, S. Belluco, E. Scanziani, and M. L. Carcangiu. "Ovarian Epithelioid Trophoblastic Tumor in a Cynomolgus Monkey." Veterinary Pathology 42, no. 2 (2005): 223–26. http://dx.doi.org/10.1354/vp.42-2-223.

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Epithelioid trophoblastic tumor (ETT) is an unusual type of trophoblastic tumor, with features resembling carcinoma. In this study, we describe a 4-year-old cynomolgus monkey ( Macaca fascicularis) showing, at necropsy, a lobulated mass replacing the left ovary and several nodular lesions within the lungs. Histologically, the mass in the ovary and lung metastases were characterized by nests of epithelioid cells, with intermingled, occasional, multinucleate tumor cells consistent with syncytiotrophoblasts and moderate amount of eosinophilic, hyaline-like material. Immunohistochemically, the tum
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11

Hussain, Yasmin, Maryam Alsalem, Gulmeen Raza, and Samy Ismail. "Epithelioid Trophoblastic Tumor: Case Report." Open Journal of Obstetrics and Gynecology 15, no. 04 (2025): 773–78. https://doi.org/10.4236/ojog.2025.154063.

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12

Allison, Kimberly H., Jason E. Love, and Rochelle L. Garcia. "Epithelioid Trophoblastic Tumor: Review of a Rare Neoplasm of the Chorionic-Type Intermediate Trophoblast." Archives of Pathology & Laboratory Medicine 130, no. 12 (2006): 1875–77. http://dx.doi.org/10.5858/2006-130-1875-ettroa.

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Abstract We present a brief review of epithelioid trophoblastic tumor, a rare trophoblastic neoplasm derived from chorionic-type intermediate trophoblastic cells that typically presents in reproductive-age women between 1 and 18 years following a previous gestation. Histologic features include a nodular growth pattern of monomorphic, epithelioid cells within a hyaline matrix. Areas of necrosis and mitotic activity (0–9 mitoses per 10 high-power fields) are additional features of this neoplasm. Positive immunostaining for p63 and cytokeratin, frequent location in the lower uterine segment and e
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13

Fan, Langdi, Zhanhong Wang, Xiurong Wang, and Yingge Xing. "A new type of uterine trophoblastic tumor: Epithelioid trophoblastic tumor." Chinese Journal of Clinical Oncology 2, no. 2 (2005): 538–45. http://dx.doi.org/10.1007/bf02761518.

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14

Noh, H. T., K. H. Lee, M. A. Lee, Y. B. Ko, S. H. Hwang, and S. K. Son. "Epithelioid trophoblastic tumor of paracervix and parametrium." International Journal of Gynecologic Cancer 18, no. 4 (2008): 843–46. http://dx.doi.org/10.1136/ijgc-00009577-200807000-00037.

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Epithelioid trophoblastic tumor (ETT) is an unusual variant of gestational trophoblastic tumor that is closely related to choriocarcinoma and placental site trophoblastic tumor but shows different morphologic and immunohistochemical features. We report an ETT discovered in paracervix, parametrium, and periadnexal soft tissue of a 44-year-old woman. She underwent laparoscopic surgery and four courses of chemotherapy with a regimen of etoposide, methotrexate, and dactinomycin. ETT has a distinctive growth pattern and immunohistochemical profile. The difficulties and clues in distinguishing ETT f
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15

Oliver, Gavin R., Sofia Marcano-Bonilla, Jonathan Quist, et al. "LPCAT1-TERT fusions are uniquely recurrent in epithelioid trophoblastic tumors and positively regulate cell growth." PLOS ONE 16, no. 5 (2021): e0250518. http://dx.doi.org/10.1371/journal.pone.0250518.

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Gestational trophoblastic disease (GTD) is a heterogeneous group of lesions arising from placental tissue. Epithelioid trophoblastic tumor (ETT), derived from chorionic-type trophoblast, is the rarest form of GTD with only approximately 130 cases described in the literature. Due to its morphologic mimicry of epithelioid smooth muscle tumors and carcinoma, ETT can be misdiagnosed. To date, molecular characterization of ETTs is lacking. Furthermore, ETT is difficult to treat when disease spreads beyond the uterus. Here using RNA-Seq analysis in a cohort of ETTs and other gestational trophoblasti
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16

Hui, Pei. "Gestational Trophoblastic Tumors: A Timely Review of Diagnostic Pathology." Archives of Pathology & Laboratory Medicine 143, no. 1 (2018): 65–74. http://dx.doi.org/10.5858/arpa.2018-0234-ra.

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Context.— Gestational trophoblastic tumors include 3 distinct entities: gestational choriocarcinoma, placental site trophoblastic tumor, and epithelioid trophoblastic tumor. Accurate diagnosis is important for clinical management of the patient. Objective.— To review clinical features and pathologic diagnosis of gestational trophoblastic tumors. Data Sources.— Literature and personal experience are the sources for this study. Conclusions.— Trophoblastic tumors are rare encounters in modern medicine, as a result of clinical practice of molar surveillance programs and early chemotherapeutic inte
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17

Zhang, Di, Wenchao Sun, Dingheng Li, and Zhifen Zhang. "Epithelioid trophoblastic tumor found on hysteroscopy." Translational Cancer Research 9, no. 3 (2020): 2037–39. http://dx.doi.org/10.21037/tcr.2019.12.24.

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18

Lee, Eun Ji, Hyun Woo Lee, Jong Seob Lee, et al. "A Case of Epithelioid Trophoblastic Tumor." Korean Journal of Gynecologic Oncology and Colposcopy 12, no. 2 (2001): 152. http://dx.doi.org/10.3802/kjgoc.2001.12.2.152.

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19

Urabe, Satoshi, Hisaya Fujiwara, Hiroshi Miyoshi, et al. "Epithelioid trophoblastic tumor of the lung." Journal of Obstetrics and Gynaecology Research 33, no. 3 (2007): 397–401. http://dx.doi.org/10.1111/j.1447-0756.2007.00545.x.

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20

LO, C., I. LOW, A. L. TAN, and J. BARANYAI. "Epithelioid trophoblastic tumor: a case report." International Journal of Gynecological Cancer 16, no. 3 (2006): 1473–76. http://dx.doi.org/10.1111/j.1525-1438.2006.00609.x.

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21

Deodhar, KedarKamalakar, SubhashreeSubhasmita Dash, Uma Sakhadeo, et al. "Epithelioid trophoblastic tumor: A case series." Indian Journal of Pathology and Microbiology 66, no. 1 (2023): 148. http://dx.doi.org/10.4103/ijpm.ijpm_212_22.

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22

May, Taymaa, Donald P. Goldstein, and Ross S. Berkowitz. "Current Chemotherapeutic Management of Patients with Gestational Trophoblastic Neoplasia." Chemotherapy Research and Practice 2011 (May 11, 2011): 1–12. http://dx.doi.org/10.1155/2011/806256.

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Gestational trophoblastic neoplasia (GTN) describes a heterogeneous group of interrelated lesions that arise from abnormal proliferation of placental trophoblasts. GTN lesions are histologically distinct, malignant lesions that include invasive hydatidiform mole, choriocarcinoma, placental site trophoblastic tumor (PSTT) and epithelioid trophoblastic tumor (ETT). GTN tumors are generally highly responsive to chemotherapy. Early stage GTN disease is often cured with single-agent chemotherapy. In contrast, advanced stage disease requires multiagent combination chemotherapeutic regimens to achiev
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23

Bistritskaya, D. A., M. N. Tikhonovskaya, L. A. Mescheryakova, V. V. Kuznetsov, and I. Yu Davidova. "Gestational trophoblastic disease: classification and prognostic factors (part II)." Russian Journal of Oncology 19, no. 2 (2014): 32–36. http://dx.doi.org/10.17816/onco40052.

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Study of factors affecting the prognosis of malignant trophoblastic tumors, allow adequate treatment plan. Histological form trophoblastic tumor has important prognostic value. Chorionic carcionoma and epithelioid tumors are characterized by a worse prognosis, it is difficult to predict the prognosis for placental trophoblastic tumor and the most favorable prognosis is expected in the invasive and metastatic hydatidiform mole. Important prognostic factors are the age of the patient, the outcome of the previous pregnancy disease, length of history, the initial level of beta-human chorionic gona
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24

Awuku, J. A., and A. Elshaikh. "A Rare Case of Non-Gestational Ovarian Mixed Intermediate Trophoblastic Tumor Associated with a Mature Cystic Teratoma." American Journal of Clinical Pathology 158, Supplement_1 (2022): S89. http://dx.doi.org/10.1093/ajcp/aqac126.186.

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Abstract Introduction/Objective Ovarian non-gestational trophoblastic tumors are rare with only a few documented cases. We report a case of a 22-year-old non-sexually active woman who presented to the emergency department with ongoing left lower quadrant abdominal pain. Workup showed elevated Beta-human chorionic gonadotropin levels (152 mIU/mL) and a left ovarian mass. This was initially thought to be an ectopic pregnancy, however patient was non- sexually active. Patient underwent a left oophorectomy and the specimen was sent to pathology. Methods/Case Report Microscopic examination of the o
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25

Kim, Ji-Hye, Sun Kyung Lee, Soo Hyun Hwang, et al. "Extrauterine epithelioid trophoblastic tumor in hysterectomized woman." Obstetrics & Gynecology Science 60, no. 1 (2017): 124. http://dx.doi.org/10.5468/ogs.2017.60.1.124.

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26

Wang, Ya-Nan, Yan Dong, Lin Wang, et al. "Special epithelioid trophoblastic tumor: A case report." World Journal of Clinical Cases 10, no. 26 (2022): 9354–60. http://dx.doi.org/10.12998/wjcc.v10.i26.9354.

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27

Kuo, Kuan-Ting, Mei-Jou Chen, and Ming-Chieh Lin. "Epithelioid Trophoblastic Tumor of the Broad Ligament." American Journal of Surgical Pathology 28, no. 3 (2004): 405–9. http://dx.doi.org/10.1097/00000478-200403000-00017.

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28

Chohan, Muhammad Omar, Tausif Rehman, Lisa A. Cerilli, Kelly Devers, Rafael Medina-Flores, and Paul Turner. "Metastatic Epithelioid Trophoblastic Tumor Involving the Spine." Spine 35, no. 20 (2010): E1072—E1075. http://dx.doi.org/10.1097/brs.0b013e3181d7696b.

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29

NOH, H. T., K. H. LEE, M. A. LEE, Y. B. KO, S. H. HWANG, and S. K. SON. "Epithelioid trophoblastic tumor of paracervix and parametrium." International Journal of Gynecological Cancer 18, no. 4 (2008): 843–46. http://dx.doi.org/10.1111/j.1525-1438.2007.01086.x.

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30

Fang, Feng-Ying, Chiung-Ru Lai, Ming-Jie Yang, et al. "Diagnostic challenges in cornual epithelioid trophoblastic tumor." Taiwanese Journal of Obstetrics and Gynecology 53, no. 2 (2014): 235–38. http://dx.doi.org/10.1016/j.tjog.2014.03.002.

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31

Okereke, Ikenna C., and Shaoxiong Chen. "Primary Epithelioid Trophoblastic Tumor of the Lung." Annals of Thoracic Surgery 97, no. 4 (2014): 1420–21. http://dx.doi.org/10.1016/j.athoracsur.2013.07.031.

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32

Lei, Wangjun, Fangbiao Zhang, Chunhui Zheng, Chun Zhao, Shaosong Tu, and Yingwei Bao. "Metastatic epithelioid trophoblastic tumor of the lung." Medicine 97, no. 16 (2018): e0306. http://dx.doi.org/10.1097/md.0000000000010306.

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33

Okumura, M., K. Fushida, W. W. Rezende, and M. Zugaib. "P21.09: Sonographic appearance of epithelioid trophoblastic tumor." Ultrasound in Obstetrics & Gynecology 34, S1 (2009): 262. http://dx.doi.org/10.1002/uog.7304.

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34

Duan, W., B. Li, and L. Zhu. "P1005 The rare gestational trophoblastic diseases: placental site trophoblastic tumor (PSTT) and epithelioid trophoblastic tumor (ETT)." International Journal of Gynecology & Obstetrics 107 (October 2009): S695. http://dx.doi.org/10.1016/s0020-7292(09)62491-7.

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35

Vemula, Sreenivas, Shoiab Zeeshan, Sumalatha Kasturi, Madhavi P, and Triveni B. "Epithelioid trophoblastic tumor: a case report of a rare trophoblastic neoplasm." International Journal of Research in Medical Sciences 3, no. 3 (2015): 794. http://dx.doi.org/10.5455/2320-6012.ijrms20150353.

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36

Okumura, M., K. Fushida, W. W. Rezende, R. Schultz, and M. ZUGAIB. "Sonographic appearance of gestational trophoblastic disease evolving into epithelioid trophoblastic tumor." Ultrasound in Obstetrics and Gynecology 36, no. 2 (2010): 249–51. http://dx.doi.org/10.1002/uog.7560.

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37

Campara, Ema, Edina Lazovic-Salcin, Amira Skopljak, and Merita Tiric - Campara. "Applied Immunohistochemistry in Differential Diagnosis of Female Genital System PEComas." Sarajevo Medical Journal 2, no. 1 (2025): 41–51. https://doi.org/10.70119/0025-25.

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PEComa (Perivascular epithelioid cell tumors) are a rare type of tumor composed of cells exhibiting characteristics of smooth muscle cells and melanocytes. They most commonly occur in the female genital system. This study is a narrative review based on the differential diagnosis of tumors in the female genital system, focusing on PEComa. The aim of the research is to analyze the immunohistochemical markers characteristic of PEComa in the female genital system and compare them with markers of tumors that may appear in the differential diagnosis. Specifically, the study examines epithelioid smoo
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38

Narita, F., K. Takeuchi, S. Hamana, C. Ohbayashi, M. Ayata, and T. Maruo. "Epithelioid trophoblastic tumor (ETT) initially interpreted as cervical cancer." International Journal of Gynecologic Cancer 13, no. 4 (2003): 551–54. http://dx.doi.org/10.1136/ijgc-00009577-200307000-00025.

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The epithelioid trophoblastic tumor (ETT) is a rare form of trophoblastic disease and shows a wide spectrum of differential diagnoses and clinical behavior. A 53-year-old woman presented with ETT presumably originated in spontaneous delivery of 25 years ago and was initially diagnosed as cervical cancer on cervical punch biopsy followed by radical hysterectomy. The uterus showed a small tumor restricted to the cavum with no cervical infiltration, resembling ETT in histologic and immunohistochemical features. The difficulties and clues in distinguishing ETT from nontrophoblastic lesions are dis
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39

Taylor, K., L. M. Bean, K. M. Anderson, et al. "A population-based study of rare malignant trophoblastic neoplasms: Epithelioid trophoblastic tumor and placental site trophoblastic tumor." Gynecologic Oncology 141 (June 2016): 105–6. http://dx.doi.org/10.1016/j.ygyno.2016.04.286.

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40

Burkett, Wesley C., and John T. Soper. "A Review of Current Management of Placental Site Trophoblastic Tumor and Epithelioid Trophoblastic Tumor." Obstetrical & Gynecological Survey 77, no. 2 (2022): 101–10. http://dx.doi.org/10.1097/ogx.0000000000000978.

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41

Hsiue, Emily Han-Chung, Chiun Hsu, Li-Hui Tseng, Tzu-Pin Lu, and Kuan-Ting Kuo. "Epithelioid Trophoblastic Tumor Around an Abdominal Cesarean Scar." International Journal of Gynecological Pathology 36, no. 6 (2017): 562–67. http://dx.doi.org/10.1097/pgp.0000000000000366.

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42

Son, S. K., Y. B. Ko, J. G. Lee, M. A. Lee, K. H. Lee, and H. T. Noh. "0704: Epithelioid Trophoblastic Tumor of Paracervix and Parametrium." International Journal of Gynecologic Cancer 16, Suppl 3 (2006): 798.2–798. http://dx.doi.org/10.1136/ijgc-00009577-200610001-00704.

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43

Hoseok, I., Chang Lee, Yeun Jung, et al. "Pulmonary Mass Diagnosed as Extrauterine Epithelioid Trophoblastic Tumor." Thoracic and Cardiovascular Surgeon 61, no. 01 (2013): 097–100. http://dx.doi.org/10.1055/s-0032-1331264.

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44

Prabha Devi, Kodey, Narigapalli Bindhu Priya, Palutla Himabindu, and Chaganti Padmavathi. "Metastatic Epithelioid Trophoblastic Tumor: A Rare Case Report." Journal of Obstetrics and Gynecology of India 64, no. 3 (2012): 212–14. http://dx.doi.org/10.1007/s13224-012-0261-6.

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45

Melnyk, A., and S. Mansuria. "42: A rare case of epithelioid trophoblastic tumor." American Journal of Obstetrics and Gynecology 220, no. 3 (2019): S779—S780. http://dx.doi.org/10.1016/j.ajog.2019.01.178.

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46

Kavurmacı, Önder. "A rare tumor metastasis of bilateral lung: Epithelioid trophoblastic tumor." Turkish Journal of Thoracic and Cardiovascular Surgery 26, no. 2 (2018): 316–19. http://dx.doi.org/10.5606/tgkdc.dergisi.2018.14534.

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47

Öz Atalay, Fatma, Fatma Gündoğdu, Gözde Elif Taşar Kapaklı, Ali Can Güneş, Yeşim Gaye Güler, and Alp Usubütün. "Gestational trophoblastic neoplasia of intermediate trophoblasts: Epithelioid trophoblastic tumor and placental site trophoblastic tumor, a study of morphologic, immunohistochemical, and next generation sequencing." Journal of Turkish Society of Obstetric and Gynecology 20, no. 2 (2023): 105–12. http://dx.doi.org/10.4274/tjod.galenos.2023.73549.

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48

Joneborg, Ulrika, Leonoor Coopmans, Nienke van Trommel, Michael Seckl, and Christianne A. R. Lok. "Fertility and pregnancy outcome in gestational trophoblastic disease." International Journal of Gynecologic Cancer 31, no. 3 (2021): 399–411. http://dx.doi.org/10.1136/ijgc-2020-001784.

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The aim of this review is to provide an overview of existing literature and current knowledge on fertility rates and reproductive outcomes after gestational trophoblastic disease. A systematic literature search was performed to retrieve all available studies on fertility rates and reproductive outcomes after hydatidiform mole pregnancy, low-risk gestational trophoblastic neoplasia, high- and ultra-high-risk gestational trophoblastic neoplasia, and the rare placental site trophoblastic tumor and epithelioid trophoblastic tumor forms of gestational trophoblastic neoplasia. The effects of single-
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49

Stichelbout, Morgane, Louise Devisme, Hélène Franquet-Ansart, et al. "SALL4 expression in gestational trophoblastic tumors: a useful tool to distinguish choriocarcinoma from placental site trophoblastic tumor and epithelioid trophoblastic tumor." Human Pathology 54 (August 2016): 121–26. http://dx.doi.org/10.1016/j.humpath.2016.03.012.

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50

Haider, Rehan. "Trophoblast Disease: Pathophysiology, Diagnosis, and Treatment." New Medical Innovations and Research 5, no. 3 (2024): 01–09. https://doi.org/10.31579/2767-7370/097.

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Trophoblast affliction encompasses a range of environments arising from the anomalous increase of trophoblastic cells, which are the reason for placental development before birth. This group of disorders contains gestational trophoblastic neoplasia (GTN), which includes obtrusive mole, choriocarcinoma, placental spot trophoblastic lump (PSTT), and epithelioid trophoblastic tumor (ETT). These environments pose meaningful clinical challenges on account of their potential for breakneck progression and change. Pathophysiologically, trophoblast diseases stem from abnormal trophoblastic proliferatio
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