Complete Response to Adjuvant Full Dose Photons Megavoltage Radiotherapy of Giant Cell Tumor of the Temporal Bone
Bibliographic record
Abstract
Giant cell tumors (GCTs) of the skull bones are extremely rare and can be very aggressive. The tumor location and the frequent associated local infiltration did not allow adequate surgical treatment. However, with modern microsurgery techniques, a more complete removal of tumor may be possible. Nevertheless, postoperative radiation therapy appears to be the most effective tool in achieving local control of the tumor. We report a 30-year-old young male, treated initially for a GCT of the right temporal bone with surgery alone, which presented nine months later. A local recurrence necessitated surgery and adjuvant radiotherapy using high energy photons without mixing with protons. The patient achieved a good outcome and local control for more than 12 months of follow-up, with good cosmetic result and without significant toxicity. The aim of our work is to demonstrate that 3D conformal radiation therapy using only photons of high energy is a safe and effective adjuvant treatment of GCT of the temporal bone, and therefore equivalent to proton therapy. J Med Cases. 2010;1(2):64-67 doi: https://doi.org/10.4021/jmc15w
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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 | 0.000 |
| 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) | 0.001 | 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 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".