Malignant Perivascular Epithelioid Cell Tumor (PEComa) of the Uterus
Bibliographic record
Abstract
This is a case of a 52-year-old woman who underwent a hysterectomy to treat a large uterine perivascular epithelioid cell tumor. She was followed with serial F-18 FDG PET/CT scans due to positive surgical margins and vascular invasion on pathology. Initial surveillance PET/CT performed 6 months post surgery was negative; however, a second surveillance PET/CT performed 12 months post surgery showed an intensely FDG-avid recurrence in the pelvic surgical site. The patient received local radiotherapy, 2 cycles of taxol and carboplatin, and was placed on imatinib mesylate (Gleevec). A final PET/CT performed 6 months after initiation of therapy showed rapidly disseminating metastatic disease and the patient died 1 month later. This rare report highlights a potentially new utility of F-18 FDG PET/CT for surveillance of recurrence of a malignant uterine perivascular epithelioid cell tumor, as well as for evaluation of response to therapy.
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 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".