A Rare Case of Testicular Plasmacytoma as First Presentation in a Monorchid Patient Without Previous History of Multiple Myeloma: Diagnosis, Management and Review of Literature
Bibliographic record
Abstract
Testicular plasmacytoma is a rare disease with few described cases in literature since 1939 when the first case was described. Testicular plasmacytoma can occur as first presentation disease or in multiple myeloma relapse. We report a case of a monorchid asymptomatic 70-year-old patient without previous multiple myeloma diagnosis with incidental discovery of right testicular mass who presented with rapid worsening of myeloma-related symptoms immediately after orchifunicolectomy. Diagnosis was made in our urology department and patient was referred to hematologist for continued therapy. We will discuss the case and review the literature. World J Nephrol Urol. 2023;12(1):11-16 doi: https://doi.org/10.14740/wjnu441
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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 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.003 | 0.003 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
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".