New, but stored at home. Please consider purchasing if you understand that it has been stored by a non-professional. As shown in the photos. Simple packaging will be used to avoid exceeding the specified size. Please refrain from purchasing if you are concerned about the packaging, as it will be done by a non-professional. Guidelines for the Clinic and Pathology of Gestational Trophoblastic Disease, Third Edition. - Title: Guidelines for the Management of Gestational Trophoblastic Disease - Edition: 3rd Edition - Published: July 2011 - Editors: Japan Society of Obstetrics and Gynecology, Japanese Society of Pathology - ISBN: 978-4-7809-0016-1 - Publisher: Kinpodo Publishing Co., Ltd. Thank you for viewing.