Distant Cutaneous Manifestations of a Primary Gynecologic Malignancy
Bibliographic record
Abstract
Uterine cancer is the most common gynecologic cancer in the United States. While most cases are diagnosed early and recurrence is rare with adequate treatment, late stage disease has a much worse prognosis, with 5-year survival rates of 25-45%. We report the presentation of recurrent uterine serous carcinoma with metastasis to the skin. An 80-year-old postmenopausal female with a history of endometrial intraepithelial carcinoma was diagnosed with recurrent metastatic disease 3 years after her initial presentation. During hospital admission, she was noted to have clusters of rubbery cutaneous nodules with an erythematous vesicular appearance on the left breast. Biopsy of the lesions showed metastatic serous adenocarcinoma consistent with gynecologic origin. Cutaneous metastasis is a rare finding in uterine cancer. This case highlights the importance of maintaining a wide differential diagnosis and high level of suspicion when evaluating skin lesions in the setting of uterine pathology. J Clin Gynecol Obstet. 2017;6(3-4):71-74 doi: https://doi.org/10.14740/jcgo461w
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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 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 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".