The Spectrum of Aggressive Mastocytosis: A Workshop Report and Literature Review

Roos Leguit*, Konnie Hebeda, Marcus Kremer, Jon Van Der Walt, Umberto Gianelli, Alexandar Tzankov, Attilio Orazi

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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Abstract

Most cases of mastocytosis are indolent, usually cutaneous mastocytosis or indolent systemic mastocytosis (SM). Aggressive mast cell (MC) diseases are very rare and often fatal. They can develop de novo or due to progression of indolent forms and can present in different ways; either as MC sarcoma or as advanced SM which includes aggressive SM, MC leukemia, and SM with an associated hematological neoplasm. This review will describe these different aggressive forms of mastocytosis, illustrated by cases submitted to the workshop of the 18th Meeting of the European Association for Haematopathology, Basel 2016, organized by the European Bone Marrow Working Group. In addition, the diagnostic criteria for identifying myelomastocytic leukemia, an aggressive myeloid neoplasm with partial MC differentiation that falls short of the criteria for SM, and disease progression in patients with established mastocytosis are discussed.

Original languageEnglish
Pages (from-to)2-19
Number of pages18
JournalPathobiology
Volume87
Issue number1
Early online date4 Dec 2019
DOIs
Publication statusPublished - 2020

Keywords

  • Bone marrow biopsy
  • Mastocytosis
  • European Association for Haematopathology workshop
  • Mast cell leukemia
  • Mast cell sarcoma
  • Aggressive mastocytosis

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