An Atypical Presentation of Small Bowel Metastasis From a Previously Undiagnosed Primary Lung Adenocarcinoma
Bibliographic record
Abstract
Lung adenocarcinoma commonly metastasizes to the liver, brain, bones and adrenal glands, with metastasis to the small bowel in only 0.5-2% of cases. Not only did our patient have metastases to the small bowel, but the patient presented solely with gastrointestinal symptoms and no evidence of lung disease clinically or on imaging. Immunohistochemical analysis helped diagnose a primary lung adenocarcinoma with metastasis to the small bowel. There are few reported cases of small bowel metastases leading to the diagnosis of a primary lung cancer, let alone, in living patients. Though uncommon, physicians should not dismiss the possibility of vague gastrointestinal symptoms as a manifestation of metastases from a primary lung cancer. J Med Cases. 2014;5(9):511-514 doi : http://dx.doi.org/10.14740/ jmc1874 w
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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 | 0.002 | 0.003 |
| 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) | 0.001 | 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".