Norepinephrine Type Pheochromocytoma With Concomitant Aortic Aneurysms: A Distinctive Association
Bibliographic record
Abstract
Pheochromocytoma is a rare catecholamine secreting tumor. It has two types based on plasma catecholamines levels: 1) norepinephrine type and 2) mixed epinephrine-norepinephrine type. Few reports in the literature have documented the coexistence of pheochromocytoma with abdominal aortic aneurysm and proposed an association between them. In this report, we support these reports and present a case of norepinephrine type pheochromocytoma with concomitant aortic aneurysms. These aneurysms were found in the abdominal aorta, ascending, and descending thoracic aorta. That is unlike previous reports that had the aneurysms confined to the abdominal aorta. Uniquely, we suggest that this type of pheochromocytoma (the norepinephrine type) is associated with a more aggressive and extensive damage to the aortic walls. We also support that the etiology may be associated with the persistent elevation of catecholamines levels secreted from the tumor. Consequently, the aortic walls are damaged and become weak, predisposing them to aneurysm formation. J Med Cases. 2017;8(12):396-399 doi: https://doi.org/10.14740/jmc2922w
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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 | 0.001 | 0.008 |
| 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) | 0.001 | 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".