A rare cause of multiple liver metastases in a 65-year-old man
Bibliographic record
Abstract
This article presents the case of a 65-year-old man who was admitted to hospital due to persistent diarrhoea and unintentional weight loss.During the initial diagnosis, ultrasound examination revealed numerous liver metastases, the most common causes of which are colon, lung, and breast cancers.However, in the presented case, further diagnostics revealed a highly malignant duodenal neuroendocrine tumour.Two years earlier, primary hyperparathyroidism was diagnosed, but this problem was neglected by the patient.The mentioned diseases can be a clinical manifestation of multiple endocrine neoplasia type 1 syndrome.Unfortunately, the patient died before the final diagnosis.The daughter of the patient was also encouraged to check for the disease.Extraordinarily, she was totally uninterested.Denial about terminal cancer and disregard of its consequences is a palliative issue affecting not only patients but also their families.
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.004 | 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".