Acrometastasis and the Potential Benefits of Early Positron Emission Tomography Scanning
Bibliographic record
Abstract
A case report of a rare proximal phalanx metastasis from a primary lung carcinoma is described. The presenting symptom of the patient was pain in the proximal phalanx of the index finger. Radiographs at the time of presentation were unremarkable, and no diagnosis was provided. Because of increasing pain and eventual swelling, the patient presented for emergency assessment. Radiographs, less than 3 months after initial assessment, demonstrated a large lytic lesion within the proximal phalanx. Biopsy of the lesion documented a large cell malignancy consistent with a poorly differentiated adenocarcinoma. Subsequent investigations documented an occult lung neoplasm. The patient underwent palliative ray resection followed by the initiation of palliative chemotherapy for the primary carcinoma. A brief review of literature regarding acrometastases is provided and the potential benefit of early positron emission tomography scanning is discussed.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".