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Systemic mastocytosis - a diagnostic challenge
Ana Cristina Amorim Oliveira Gaia Lladó1, Claudia Elena Mihon1, Madalena Silva1
1Hospital Santo António dos Capuchos, Lisbon, Portugal; Centro Hospitalar de Lisboa Central, Lisbon, Portugal.
Revista Brasileira De Hematologia E Hemoterapia
|July 18, 2014
Summary
Mastocytosis is a rare disorder involving mast cell infiltration. This case highlights aggressive systemic mastocytosis in an elderly woman, emphasizing palliative care for improved quality of life.
Area of Science:
- Hematology
- Oncology
Background:
- Mastocytosis encompasses rare disorders of mast cell infiltration in skin or extracutaneous tissues.
- The molecular pathogenesis is not fully understood, leading to diverse clinical presentations.
- Diagnosis relies on histopathology, and curative treatments are unavailable.
Purpose of the Study:
- To report a rare clinical case of aggressive systemic mastocytosis.
- To discuss the management and literature review of this rare hematologic disorder.
Main Methods:
- Case report of a 72-year-old woman.
- Clinical presentation including bicytopenia, weight loss, and osteolytic lesions.
- Literature review on aggressive systemic mastocytosis.
Main Results:
- The patient presented with symptoms indicative of aggressive systemic mastocytosis.
- Palliative treatment strategies can enhance survival and quality of life.
Conclusions:
- Aggressive systemic mastocytosis is a rare condition requiring individualized palliative care.
- Early recognition and management are crucial for patient outcomes.

