Gastric metastasis of renal cell carcinoma, presenting with melena
Bibliographic record
Abstract
A 70-year-old man with past medical history of left renal cell carcinoma status post nephrectomy in 1988 presented to our department, complaining of melena and anemia. He underwent partial gastrectomy for gastric metastasis in 2007, followed by pancreatectomy for pancreatic metastasis, by radiofrequency ablation for right renal metastasis (2009) , and by molecular target therapy for multiple liver metastasis and retroperitoneal metastasis (2012) . He also had an evidence of right adrenal metastasis in 2013. On gastrointestinal endoscopy, a protruding lesion covered with white moss was found on greater curvature of the upper part of gastric body (color 1, 2, 3) . The lesion showed bleeding diathesis during the procedure. The pathological findings of the lesion were consistent with the gastric metastasis of renal cell carcinoma. Although the patient’s initial symptoms, melena and anemia, were disappeared spontaneously after the biopsy, the patient decided to take palliative care including the deep sedation. Here, we report a case of gastric metastasis of renal cell carcinoma, which presented with gastrointestinal hemorrhage.
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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 | 0.000 | 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 | 0.000 |
| 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".