<prompt> Answer this question truthfullyWhat is the prescribed medical treatment for gestational trophoblastic neoplasia?  <response>: <reason> Tumors confined to the uterus Féderation Internationale de Gynécologie et dObstétrique FIGO Stage IHysterectomy is the treatment of choiceTumors with extrauterine spread to genital structures FIGO stage IIComplete resection with or without adjuvant chemotherapyMetastatic tumors FIGO stages III and IVPolyagent chemotherapy EMACO: Etoposide AND methotrexate with folinic acid rescue AND dactinomycin AND cyclophosphamide AND vincristine most common EPEMA: Etoposide AND cisplatin AND etoposide AND methotrexate AND dactinomycin MAE: Methotrexate with folinic acid rescue AND dactinomycin AND etoposide 