Huge Mature Cystic Teratoma With Compression and Obstructive Outcome
Bibliographic record
Abstract
Mature cystic teratoma generally presents in a predictable and favorable course. Patients are usually asymptomatic, and the tumor is slow growing. We highlight a case of huge right ovarian teratoma with an unusual presentation with extensive compression disease, which results in the complexity of the case management. A 45-year-old woman, para 4, presented with suprapubic mass 10 × 10 cm with sudden onset lower abdominal pain for 1 day. Pain suddenly subsided, and we diagnosed it as torsion de-torsion. Within 2 months' duration prior to the scheduled surgery, the tumor progressively increases in size to 24 × 20 cm. The features were also suspicious of malignancy, with bilateral obstructive uropathy causing renal impairment and extensive bilateral lower limb and pelvic vein thrombosis. We inserted a bilateral nephrostomy tube followed by antegrade stenting, and intravenous infusion (IVI) of heparin was changed to subcutaneous (S/C) Clexane 40 mg, twice a day (BID) until the renal function normalized. Surgery was delayed for 6 weeks while she was closely monitored. Intraoperatively the right ovarian tumor has ruptured, features consistent with teratoma. She recovered well postoperatively. Mature cystic teratoma, although generally having a benign course, may present with a fast-growing tumor, with severe bilateral obstructive uropathy and extensive pelvic vein thrombosis. J Clin Gynecol Obstet. 2022;11(4):113-116 doi: https://doi.org/10.14740/jcgo828
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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 | 0.001 | 0.004 |
| 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 | 0.001 |
| 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".