Small lymphocytic lymphoma presenting as bilateral medial lower eyelid ectropion
Bibliographic record
Abstract
Purpose: Herein, we present a case of new-onset medial ectropion of the lower eyelids and persistent painless cervical lymphadenopathy in an 85-year-old man highlighting a unique presentation of small lymphocytic lymphoma (SLL). Observations: Physical examination revealed bilateral medial ectropion with associated follicular changes to the palpebral conjunctiva and extensive cervical lymphadenopathy. Conjunctival biopsies were taken during ectropion repair in addition to fine needle biopsy of the cervical lymphadenopathy which both independently confirmed a diagnosis of SLL. Surgical intervention, including bilateral lateral tarsal strip and medial spindle procedures, yielded excellent postoperative outcomes. Given the patient's staging, he remained under observation until treatment was warranted to address progressive lymphadenopathy. Conclusions and importance: This report contributes valuable new insight into the ocular manifestations of lymphoproliferative disease.
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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 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 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 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".