Tratamiento quirúrgico de los tumores de esternón
Bibliographic record
Abstract
Los tumores de esternón son raros. La indicación quirúrgica en caso de metástasis se justifica únicamente si se considera que el tumor primitivo está curado y la metástasis es única. La cirugía de resección en bloque debe reposar sobre una exploración preoperatoria en la que el TAC torácico tiene un papel importante para conocer la extensión del tumor y un control anatomopatológico de los márgenes de resección durante la cirugía. La reconstrucción por placa de Metil-Metacrilato presenta el interés de un montaje rígido por una sustancia moldeable durante la cirugía, radiotrasparente, inerte y bien tolerada por el organismo. En posición esternal alta contribuye a estabilizar la cintura escapular y asegurar una protección del mediastino. Los autores presentan un caso de esternectomía parcial por metástasis de carcinoma tiroideo con resección en bloque y reconstrucción por placa moldeada de Metil-Metacrilato.
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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 | 0.000 |
| 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 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 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 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".