Cronkhite-Canada Syndrome Associated with Gastric Carcinoid Tumor: Report of a Case
Bibliographic record
Abstract
Cronkhite-Canada syndrome associated with gastric carcinoid tumor is very rare. We report a 76-year-old male presented with the chief complaints of epigastric pain and abdominal distention. His abnormal physical findings included alopecia, splitting of nail bed and generalized hyperpigmentation. Both upper gastrointestinal endoscopy and small intestinal series revealed multiple polypoid lesions in the stomach and the small intestine. In addition, a submucosal mass was also noted over the antrum. The histopathologic diagnosis of his gastric polyps was inflammatory polyps. Nervertheless, his gastric submucosal lesion was proved to be a carcinoid tumor. In addition, several sessile polyps were also found by colonoscopy. Although high serum level of gastrin-17, other special endocrine studies including levels of 24-hours urinary 5-HIAA excretion, plasma metanephrines, catecholamines, vanillylmandelic acid were all within normal limits. Surgical intervention was suggested, but he refused and was lost to follow-up for two years. Finally, he died from aspiration pneumonia with multiple organ failure due to protein-losing enteropathy and severe malnutrition.
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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 | 0.005 |
| Meta-epidemiology (narrow) | 0.003 | 0.002 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.005 | 0.003 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.006 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 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".