{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:03:10Z","timestamp":1740164590347,"version":"3.37.3"},"reference-count":12,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Virginia Tech Open Access Fund","award":["UL1TR003015","KL2TR003016"],"award-info":[{"award-number":["UL1TR003015","KL2TR003016"]}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UL1TR003015","KL2TR003016"],"award-info":[{"award-number":["UL1TR003015","KL2TR003016"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2023,2,8]]},"abstract":"<jats:p>Background. Persistent elevation in beta-human chorionic gonadotropin (\u03b2-hCG) following a pregnancy is concerning for gestational trophoblastic neoplasia (GTN). However, the differential diagnosis should remain broad during the evaluation process. Case. A 34-year-old G3P3 presented with elevated \u03b2-hCG four months after cesarean delivery with bilateral tubal ligation. The patient was treated with methotrexate for a presumed new ectopic pregnancy. Due to persistent \u03b2-hCG elevation, she received actinomycin-D for GTN treatment. After completing chemotherapy, her \u03b2-hCG increased. The patient underwent a laparoscopic hysterectomy with unplanned left oophorectomy due to its nodular appearance at the time of surgery. Pathology confirmed a dysgerminoma of the ovary and benign uterus. Conclusion. Although dysgerminomas are uncommon, they should be considered when \u03b2-hCG levels remain elevated despite therapies for more common pathologies.<\/jats:p>","DOI":"10.1155\/2023\/1901858","type":"journal-article","created":{"date-parts":[[2023,2,9]],"date-time":"2023-02-09T02:35:08Z","timestamp":1675910108000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["Dysgerminoma Masquerading as Gestational Trophoblastic Neoplasia"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1179-3950","authenticated-orcid":true,"given":"Conner","family":"Blackwell","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7164-8803","authenticated-orcid":true,"given":"Shian","family":"McLeish","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8506-3451","authenticated-orcid":true,"given":"David","family":"Iglesias","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Gynecology Oncology, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4884-6737","authenticated-orcid":true,"given":"Shannon D.","family":"Armbruster","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Gynecology Oncology, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1515\/CCLM.2011.211"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdt345"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.5306\/wjco.v10.i2.28"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13877"},{"key":"5","volume-title":"Comprehensive Gynecology","author":"D. 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