{"id":"W3001425224","doi":"10.1159/000504936","title":"HPV-Related Neovaginal Squamous Cell Carcinoma Presenting as Lung Metastasis after Male-to-Female Gender Confirmation Surgery","year":2020,"lang":"en","type":"article","venue":"Case Reports in Oncology","topic":"Genital Health and Disease","field":"Medicine","cited_by":22,"is_retracted":false,"has_abstract":true,"ca_institutions":"Abbotsford Veterinary Clinic; Vancouver General Hospital; University of British Columbia; BC Cancer Agency","funders":"","keywords":"Medicine; Transgender; Metastasis; Squamous-cell carcinoma of the lung; Basal cell; Presentation (obstetrics); Lung; Pelvis; Surgery; General surgery; Oncology; Cancer; Pathology; Internal medicine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.0005264442,0.000206929,0.00055886,0.0002477224,0.00006871501,0.00001414596,0.00002842171,0.0002032617,0.002283839],"category_scores_gemma":[0.0008590158,0.000207726,0.0001539326,0.000401634,0.00005531005,0.00009370909,0.00007809503,0.0003302758,0.0001230466],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002404991,"about_ca_system_score_gemma":0.001113147,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0002768254,"about_ca_topic_score_gemma":0.00002144706,"domain_scores_codex":[0.9974855,0.0002021033,0.001021092,0.0005129895,0.000245521,0.0005328416],"domain_scores_gemma":[0.9979662,0.0002679914,0.0002980693,0.0003248348,0.0001579109,0.0009849604],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"case_report","study_design_gemma":"case_report","study_design_scores_codex":[0.0006206654,0.0002327827,0.2848338,0.0009575027,0.0000116142,0.7058964,0.00173696,0.00006518624,0.0001011504,0.000005014488,0.003364118,0.002174755],"study_design_scores_gemma":[0.003916879,0.001111057,0.2869402,0.00003946079,0.001189108,0.6706778,0.003574169,0.004023609,0.001890957,0.00009582808,0.02569382,0.0008471897],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9760488,0.001760193,0.00003781079,0.001381471,0.000497553,0.000894331,0.00001034238,0.00005976783,0.01930975],"genre_scores_gemma":[0.9952645,0.000003119,0.0002752512,0.003589964,0.000187236,0.0001438064,0.00007193517,0.00003224995,0.0004319086],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.03521868,"threshold_uncertainty_score":0.9986282,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.04433817316229605,"score_gpt":0.333480636064777,"score_spread":0.2891424629024809,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}