A case report angiomyxoma presenting as Bartholin’s cyst
Bibliographic record
Abstract
Aggressive angiomyxoma (AA) is a rare, slow-growing mesenchymal tumor that predominantly affects women of reproductive age and often mimics common vulvar conditions like Bartholin’s cysts. We report the case of a 41-year-old woman who presented with a 6-month history of painless, progressively enlarging left vulval swelling. She sought medical attention due to embarrassment and complaints from her husband. A working diagnosis of Bartholin’s cyst was made, and the patient was counselled for surgery. Intraoperatively, findings deviated from the presumed diagnosis, revealing a well-encapsulated gelatinous mass. Marsupialization with wide local excision was performed under face mask anaesthesia, and the excised specimen was sent for histopathological analysis. Histology confirmed AA. This case highlights the importance of a high index of suspicion for atypical vulvar masses, the role of histopathology in confirming the diagnosis, and the need for diligent follow-up to manage the recurrence risks associated with AA.
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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 | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.003 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.005 | 0.003 |
| Science and technology studies | 0.004 | 0.002 |
| Scholarly communication | 0.004 | 0.005 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.009 | 0.004 |
| Insufficient payload (model declined to judge) | 0.004 | 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".