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Record W4411191463 · doi:10.1002/rcr2.70232

A Rare and Challenging Presentation of an Inflammatory Myofibroblastic Tumour: A Case Report

2025· article· en· W4411191463 on OpenAlexaff
Rohit Shirgaonkar, Srivatsa Lokeshwaran, Susmita Rakshit

Bibliographic record

VenueRespirology Case Reports · 2025
Typearticle
Languageen
FieldMedicine
TopicIgG4-Related and Inflammatory Diseases
Canadian institutionsASTER
Fundersnot available
KeywordsPresentation (obstetrics)MedicinePathologyDermatologyRadiology

Abstract

fetched live from OpenAlex

Inflammatory Myofibroblastic Tumours (IMTs) are rare pulmonary neoplasms, accounting for less than 1% of lung tumours. Patients present with non-specific symptoms and diverse radiological findings. A 32-year-old female presented with progressively worsening cough, haemoptysis, low-grade fever and increasing shortness of breath. Chest X-ray revealed a total right lung collapse. Further imaging revealed a mass obstructing the right mainstem bronchus. A staged debulking procedure using rigid bronchoscopy was performed, followed by the insertion of a silicone stent to maintain airway patency. Endobronchial growth turned out to be an Inflammatory Myofibroblastic tumour. The patient showed significant improvement in respiratory function and lung re-expansion. Adjuvant therapy with ALK inhibitor was initiated. IMTs, while benign histologically, may recur or metastasise, requiring long-term monitoring. Bronchoscopic interventions offer effective treatment for localised disease, while surgery is preferred for extensive tumours. Early diagnosis, genetic profiling and a multidisciplinary approach are key for optimal outcomes.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.006
Threshold uncertainty score0.726

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.009
GPT teacher head0.281
Teacher spread0.273 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designCase report
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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