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Malignant transformation of mastocytoma developed on skin mastocytosis into cutaneous mast cell sarcoma.
[cutaneous mastocytosis]
Mastocytosis
is
a
group
of
disorders
characterized
by
abnormal
mast
cell
proliferation
,
involving
the
skin
in
80
%
of
cases
.
Cutaneous
mastocytosis
,
which
appears
in
childhood
in
60
%
of
cases
,
usually
has
a
benign
course
with
a
gradually
regressive
evolution
before
puberty
.
Mast
cell
sarcomas
,
part
of
the
systemic
forms
of
mastocytosis
,
are
very
rare
tumors
characterized
by
a
destructive
growth
of
highly
atypical
mast
cells
,
with
secondary
spread
,
poor
prognosis
,
and
low
survival
rates
.
We
report
the
first
known
case
of
primary
cutaneous
mast
cell
sarcoma
due
to
the
transformation
of
a
benign
solitary
mastocytoma
in
an
adult
suffering
from
an
unregressive
localized
cutaneous
mastocytosis
.
Histologic
characteristics
of
the
tumor
,
mutation
analysis
,
and
c-
Kit
expression
were
compared
with
available
data
.
Wide
surgical
excision
of
the
tumor
followed
by
adjuvant
local
radiotherapy
were
performed
,
and
for
the
first
time
the
use
of
imatinib
was
attempted
,
as
neoplastic
mast
cells
expressed
the
CD
117
marker
.
However
,
they
failed
to
control
the
progression
of
sarcoma
.
To
date
,
no
treatment
is
known
to
be
effective
for
this
disease
,
which
is
associated
with
short
-term
survival
of
the
patients
.
Diseases
Validation
Diseases presenting
"first time"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
gm1 gangliosidosis
harlequin ichthyosis
heparin-induced thrombocytopenia
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
severe combined immunodeficiency
sneddon syndrome
triple a syndrome
trochlear dysplasia
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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