Intra-articular Synovial Sarcoma of the Knee with Extension to the Distal Thigh: A case report
Bibliographic record
Abstract
Objective: We present a case of intra-articular synovial sarcoma of the knee with expansion to the distal thigh with developed metastatic lung disease. The case was complicated by the detection of primary pulmonary adenocarcinoma. Case: A 70 year age woman reported pain in the right knee during a routine check–up. Ultrasound (US) finding was inconclusive since the detected intra–articular tumor, appeared to be a partially organised haematoma. Magnetic resonance imaging (MRI) indicated the tumor corresponds to SS, and radical tumor resection was performed. Due to developed distant lung metastases, the patient received two different chemotherapy protocols. Good response to the second chemotherapy enabled video–assisted thoracoscopic surgery and removal of the remaining deposits in the left lung. Unexpected detection of primary adenocarcinoma of the lung and its metastases required a new chemotherapy protocol, which the patient is currently undergoing. Conclusion: SS's insidious onset and infrequency often delay the diagnosis. Common occurrences of lung metastases require the selection of adequate chemotherapy, and continuous follow – up. Laboratory and radiographic monitoring remain mandatory to ensure the absence of both primary diseases and to detect recurrent metastatic activity.
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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 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| 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".