Fístula quilosa tras linfadenectomía axilar en cáncer de mama
Bibliographic record
Abstract
REsUMEnLa linfadenectomía axilar constituye uno de los pilares en el tratamiento locorregional del cáncer de mama.La fístula quilosa es una complicación infrecuente en el vaciamiento axilar.Se muestra el caso de una paciente con un tumor de mama localmente avanzado, subsidiaria de tratamiento quirúrgico tras la administración de quimioterapia neoadyuvante, que presentó una fístula quilosa en el postoperatorio.La evolución fue satisfactoria con el tratamiento conservador instaurado mediante somatostatina subcutánea y una dieta baja en grasa suplementada con triglicéridos de cadena media.La fístula quilosa es una complicación poco habitual en la linfadenectomía axilar, cuyo manejo es conservador en la gran mayoría de casos descritos.Palabras clave.Fístula quilosa.Linfadenectomía axilar izquierda.Tratamiento conservador.Triglicéridos de cadena media.Somatostatina. aBstRactAxillary lymph node dissection remains an integral part of surgical treatment in patients with invasive breast cancer and axillary lymph node metastases.Chylous leakage after axillary lymph node dissection is infrequent.We report a case patient with an advanced local breast cancer who was treated with neoadjuvant chemotherapy and surgery.She had a postoperative chylous leakage what was successfully treated conservatively in the postoperative course with somatostatin and a fat reduced diet with medium chain triglyceride.Chylous leakage an infrequent complication after axillary lymph node dissection, which has a conservative management in most published studies. Key words.Chylous fistula.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
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 source (direct Gemma or distilled Codex), 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".