I used it with care, so there are no noticeable scratches. There are some lines drawn with a marker. I have used it for studying a few times, so please refrain from purchasing if you are looking for a perfect item. The number of classes was small, so the number of times I used it was also small, and it is in good condition. "Systematic Nursing Course, Special Field [4]" Chie Koharu Price: ¥2500 #ChieKoharu #Chie_Koharu #Book #Nature/MedicalScience/Health