Benign Tailgut Cyst Masquerading as a Hemorrhoid
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
1Division of Anatomic Pathology, Vancouver General Hospital, Department of Pathology & Laboratory Medicine, University of British Columbia; 2Pezim Clinic; 3Department of Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia Correspondence: Dr Joyce M Leo, Division of Anatomic Pathology, Vancouver General Hospital, 910 West 10th Avenue, Vancouver, British Columbia V5Z 4E3. Telephone 604-875-4480, fax 604-875-4797, e-mail joyce.leo@alumni.ubc.ca Received for publication January 28, 2014. Accepted Febraury 7, 2014 CASE PRESENTATION A 79-year-old man presented with a 1.5-year history of a prolapsing cystic structure located within the anterior anal sphincter, clinically suggestive of a hemorrhoid. Physical examination demonstrated a cystic mass within the anterior anal verge, measuring up to 3 cm in maximum diameter. During the ensuing surgical procedure, the cystic structure was opened and contained thick purulent fluid; no solid areas were present. The microscopic appearance (Figure 1) was of a cyst partially lined with squamous and ciliated tall columnar epithelium (short arrows) containing occasional goblet cells (long arrows); there was no evidence of dysplastic epithelial changes. Subjacent scattered bundles of fibrous connective tissue and small blood vessels were present within the cyst wall. The histological features were consistent with a benign tailgut cyst.
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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) | 0.001 | 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 it