Aggressive systemic mastocytosis presenting as diffuse osteoblastic bone disease: a diagnostic pitfall mimicking metastatic cancer

Aggressive mastocytosis can rarely present with diffuse osteoblastic bone lesions mimicking metastatic disease.Elevated serum tryptase and histopathological confirmation are essential for diagnosis, even when KIT mutations are absent.Early recognition prevents unnecessary oncologic investigations and allows timely initiation of cytoreductive therapy.

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Publication Details

Journal
European Journal of Case Reports in Internal Medicine
Published
2026-02-16
DOI
https://doi.org/10.12890/2026_006143
Primary Topic
Mast cells and histamine
Type
article
Field-Weighted Citation Impact
0.00
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article

Aggressive systemic mastocytosis presenting as diffuse osteoblastic bone disease: a diagnostic pitfall mimicking metastatic cancer

Hélder Diogo Gonçalves, Mariana de Moura e Dias, Ana Melício, João Madeira Lopes et al.
European Journal of Case Reports in Internal Medicine
Mast cells and histamine
article

Aggressive systemic mastocytosis presenting as diffuse osteoblastic bone disease: a diagnostic pitfall mimicking metastatic cancer

Hélder Diogo Gonçalves, Mariana de Moura e Dias, Ana Melício, João Madeira Lopes, Sara Teixeira
article en

Abstract

Aggressive mastocytosis can rarely present with diffuse osteoblastic bone lesions mimicking metastatic disease.Elevated serum tryptase and histopathological confirmation are essential for diagnosis, even when KIT mutations are absent.Early recognition prevents unnecessary oncologic investigations and allows timely initiation of cytoreductive therapy.

European Journal of Case Reports in Internal MedicineVol. 13(3)
Administração Regional de Saúde de Lisboa e Vale do Tejo (PT), Hospital de Santa Maria (PT)
Good health and well-being
Openalex Percentile: Top 53%
Mast cells and histamine
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