{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T21:35:57Z","timestamp":1790631357174,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T00:00:00Z","timestamp":1518480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 30\u2010year\u2010old Chinese woman with irregular vaginal bleeding was admitted to our department. Serum \u03b2\u2010human chorionic gonadotropin (\u03b2\u2010hCG) was moderately elevated, and ultrasound and magnetic resonance imaging revealed an irregular, retro\u2010uterine lesion without intrauterine pregnancy. Ectopic pregnancy was the primary consideration, with trophoblastic tumor being another possibility. Laparoscopy revealed a 2 \u00d7 3 \u00d7 3 cm<jats:sup>3<\/jats:sup> irregular, infiltrating, yellow\u2010white lesion in the left recto\u2010uterine pouch, which was completely resected without rectal damage. Final pathological\/immunohistochemical analyses revealed an epithelial trophoblastic tumor (ETT) (Ki\u201067 reactive index~45%). Postoperative recovery was smooth, and the patient received three chemotherapy courses (etoposide, methotrexate and actinomycin, alternating weekly with cyclophosphamide and vincristine) beginning 6 days postsurgery (\u03b2\u2010hCG = 46.4 mIU\/mL). \u03b2\u2010hCG returned to an undetectable level after one chemotherapy course. Herein, we describe a rare case of isolated ETT that was difficult to differentiate from other pregnancy\u2010related diseases. Laparoscopy could be an effective, safe diagnostic method in select patients.<\/jats:p>","DOI":"10.1111\/jog.13593","type":"journal-article","created":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T09:02:55Z","timestamp":1518512575000},"page":"960-965","source":"Crossref","is-referenced-by-count":13,"title":["Laparoscopic diagnosis and treatment of an isolated epithelioid trophoblastic tumor in recto\u2010uterine pouch"],"prefix":"10.1111","volume":"44","author":[{"given":"Fang","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Xiang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010na","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Pathology Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,13]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2015.03.006"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-199811000-00010"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0b013e31829ea023"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-200403000-00017"},{"key":"e_1_2_5_6_1","first-page":"136","article-title":"Epithelioid trophoblastic tumour: Report of a case in the fallopian tube","volume":"35","author":"Parker A","year":"2003","journal-title":"Pathology"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0377-4929.41669"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.2147\/OTT.S50553"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004347-200010000-00015"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1066896915570661"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1438.2007.01086.x"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PGP.0000000000000366"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2007.04.002"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/PGP.0b013e3181f5ce68"},{"key":"e_1_2_5_15_1","first-page":"910","article-title":"Value of laparoscopic surgery in the diagnosis of suspected gestational trophoblastic neoplasia cases with uterine mass","volume":"50","author":"Li X","year":"2015","journal-title":"Zhonghua Fu Chan Ke Za Zhi"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdt345"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.13593","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.13593","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T18:39:21Z","timestamp":1695494361000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.13593"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,13]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1111\/jog.13593"],"URL":"https:\/\/doi.org\/10.1111\/jog.13593","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,13]]}}}