Laparoscopic Adrenal Surgery for Giant Ganglioneuroma
Bibliographic record
Abstract
We present herein a case of a 24-year-old woman with incidentally diagnosed right adrenal ganglioneuroma with 14cm in size that was removed completely by the laparoscopic approach. The patient was asymptomatic and the tumor was first diagnosed on abdominal ultrasonography. A subsequent computed tomography (CT) of the abdomen confirmed a 12x 11x9cm complex expansive mass of right adrenal, with well-defined outlines. Magnetic resonance imaging (MRI) showed a solid lesion measuring 11 x 9 x 11cm arising from the right adrenal. Laparoscopic complete excision of the mass was accomplished through a transabdominal lateral approach. The surgical specimen weighed 665 g and 14 x 10 x 7 cm in size. There was no complication in postoperative period, and the patient was released from the hospital two days after the operation. The patient resumed her normal activities in one week. Histology was consistent with an adrenal ganglioneuroma. A control CT was made one year after the surgery with no evidence of lesion suggestive of relapse. Adrenal ganglioneuromas are rare lesions with a benign behavior in which surgery is the only possible form of treatment. In centers of advanced laparoscopy this method of access can be used, even for larger lesions.
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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 | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| 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".