PSTT and ETT are rare types of GTN that arise from intermediate trophoblast. Time from antecedent pregnancy > 4 years and advanced stage are poor prognostic factors. Hysterectomy is the primary treatment for stage I disease. Stage I disease with high-risk features and all advanced stage disease require chemotherapy. EMA-EP and TP/TE are the chemotherapy regimens recommended for treatment of PSTT and ETT.