Acute Pancreatitis: First and Sole Manifestation of Small Cell Carcinoma of Lung
Bibliographic record
Abstract
Small cell carcinoma of the lung is an aggressive disease that tends to metastasize early in its course and has a poor prognosis. Pancreatic metastasis generally constitutes a late manifestation of this disease and most patients do not have organ specific symptoms (jaundice, abdominal pain and weight loss), and it is incidentally discovered on imaging studies. However, acute pancreatitis as the initial presentation of small cell carcinoma of lung is extremely rare. We came across a 71-year-old female who was admitted to the hospital for abdominal pain secondary to acute pancreatitis. Further workup revealed metastatic small cell carcinoma of lung. In English literature we found 11 other cases of small cell carcinoma of lung which had acute pancreatitis as their sole presentation. Therefore, it should be kept in mind as a very rare cause of acute pancreatitis in the right setting. J Med Cases. 2014;5(10):525-528 doi: http://dx.doi.org/10.14740/jmc1896w
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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 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.005 | 0.002 |
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".