{"id":"W4408796790","doi":"10.1016/j.labinv.2024.103242","title":"1008 Metastatic/Advanced Disease Without a Known Primary and De-Differentiation: Scenarios Highlighting Diagnostic Difficulty and Expanding the Clinicopathologic Spectrum of Endometrial Pilomatrix-like Endometrioid Carcinoma","year":2025,"lang":"en","type":"article","venue":"Laboratory Investigation","topic":"Cancer and Skin Lesions","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"University of Toronto; Toronto General Hospital; University Health Network","funders":"","keywords":"Medicine; Carcinoma; Disease; Oncology; Pathology; Gynecology; 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":[],"consensus_categories":[],"category_scores_codex":[0.0005468584,0.0002023637,0.0004541582,0.0003721844,0.000265689,0.00005197223,0.00007878505,0.00006320392,0.0000125779],"category_scores_gemma":[0.004357316,0.0001465996,0.00006206252,0.001159254,0.0003451718,0.0001564747,0.0000833962,0.0002194119,9.269449e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001463698,"about_ca_system_score_gemma":0.0005203336,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0000250082,"about_ca_topic_score_gemma":0.00001666267,"domain_scores_codex":[0.9983472,0.0002834196,0.0005189683,0.0003556341,0.000266528,0.0002282099],"domain_scores_gemma":[0.9970831,0.001981978,0.0002790139,0.0002933304,0.0001462638,0.0002163667],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0004384418,0.0001125742,0.9436058,0.0005703435,0.00007349884,0.00004343309,0.000765125,0.00002878831,0.05159093,0.001289151,0.0001884594,0.001293482],"study_design_scores_gemma":[0.005255396,0.0002443701,0.9790236,0.0003920056,0.0006813963,0.0000173624,0.0003162374,0.0004761014,0.01222637,0.0009956663,0.0002072467,0.0001642868],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9917184,0.004638091,0.0007358314,0.00151293,0.0003353389,0.00087545,0.000075212,0.00005913431,0.00004957387],"genre_scores_gemma":[0.9971737,0.0005410481,0.001220987,0.0006880327,0.0001407191,0.0001022358,0.00006570203,0.00001589275,0.00005172304],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.03936456,"threshold_uncertainty_score":0.5978158,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01642516777442782,"score_gpt":0.2833051988732811,"score_spread":0.2668800310988533,"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."}}