Paraneoplastic Dermatomyositis as the Initial Presentation of Endometrial Adenocarcinoma: First Reported Case in Latin America and Literature Review
Bibliographic record
Abstract
Idiopathic inflammatory myopathies are a group of rare autoimmune diseases. A subset of these cases may occur in association with an underlying malignancy, a condition known as cancer-associated myositis (CAM), reported in approximately 13% of cases according to the Euromyositis registry. The malignancies most commonly linked to this syndrome include cancers of the lung, thyroid, breast, stomach, ovaries, cervix, and hepatocellular carcinoma. However, the association with endometrial adenocarcinoma has been only rarely described in the medical literature. In our review, we identified six previously reported cases (from Japan, Canada, and the United States). We present the first documented case in Latin America of a patient who developed this uncommon form of CAM, characterized by severe clinical presentation and favorable response following treatment directed at the neoplasm and administration of intravenous immunoglobulin.
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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 | 0.013 | 0.056 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.004 | 0.015 |
| Science and technology studies | 0.000 | 0.004 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.003 |
| 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".