Mast cell leukemia C94.3

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 31.08.2024

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Synonym(s)

Mast cell leukemia; Mast cell reticulosis

Definition
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Mastocytosis with systemic malignant mast cell proliferation and leaching of atypical mast cells into the peripheral blood

Manifestation
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Especially patients with systemic mastocytosis without cutaneous skin involvement are at risk (approx. 30%).

Clinical features
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Corresponding to mastocytosis.

Diagnosis
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>20% mast cells in the bone marrow aspirate, mast cells usually immature, often blastar. >10% mast cells in blood smear.

Therapy
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Both aggressive systemic mastocytosis (ASM) and mast cell leukemia require cytoreductive therapy because they are life-threatening.

Cytostatic drugs such as cyclophosphamide, chlorambucil and others can be tried. However, the chances of success are low.

Progression/forecast
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Very serious, usually rapidly progressive course. Malignancy development is very rare in mastocytosis with skin involvement.

Literature
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  1. Arber DA et al (2016) The 2016 revision to the World Health Organization classification of myeloidneoplasms
    and acute leukemia. Blood 127:2391-405.
  2. Torrey E et al (1990) Malignant mastocytosis with circulating mast cells. Am J Hematol 34: 283-286

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 31.08.2024