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Erschienen in: International Journal of Hematology 5/2011

01.11.2011 | Case Report

Successful treatment of mast cell sarcoma of the uterus with imatinib

verfasst von: Hong Bing Ma, Xia Xu, Wei Ping Liu, Hong Chang, Fan Zeng, Yu Chun Wang

Erschienen in: International Journal of Hematology | Ausgabe 5/2011

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Abstract

Mast cell sarcoma is a rare disease characterized by localized, but destructive and rapid, growth of the tumor, high risk of distant metastasis, possibility of a leukemic phase, and poor prognosis. We report successful treatment of uterine mast cell sarcoma with imatinib in a 39-year-old woman who presented with abdominal distention and massive ascites. Routine treatment, such as combined chemotherapy, had little effect. We administered imatinib to the patient and achieved a good response in the absence of c-kit mutation, BCR/ABL, and FIP1L1–PDGFRα. Our results indicate that imatinib is of potential use in the treatment of mast cell sarcoma.
Literatur
1.
Zurück zum Zitat Horny HP, Parwaresch MR, Kaiserling E, et al. Mast cell sarcoma of the larynx. J Clin Pathol. 1986;39:596–602.CrossRef Horny HP, Parwaresch MR, Kaiserling E, et al. Mast cell sarcoma of the larynx. J Clin Pathol. 1986;39:596–602.CrossRef
2.
Zurück zum Zitat Kojima M, Nakamura S, Itoh H, et al. Mast cell sarcoma with tissue eosinophilia arising in the ascending colon. Mod Pathol. 1999;12:739–43.PubMed Kojima M, Nakamura S, Itoh H, et al. Mast cell sarcoma with tissue eosinophilia arising in the ascending colon. Mod Pathol. 1999;12:739–43.PubMed
3.
Zurück zum Zitat Guenther PP, Huebner A, Sobottka SB, et al. Temporary response of localized intracranial mast cell sarcoma to combination chemotherapy. J Pediatr Hematol Oncol. 2001;23:134–8.PubMedCrossRef Guenther PP, Huebner A, Sobottka SB, et al. Temporary response of localized intracranial mast cell sarcoma to combination chemotherapy. J Pediatr Hematol Oncol. 2001;23:134–8.PubMedCrossRef
4.
Zurück zum Zitat Brcic L, Vuletic LB, Stepan J, et al. Mast-cell sarcoma of the tibia. J Clin Pathol. 2007;60(4):424–5.PubMedCrossRef Brcic L, Vuletic LB, Stepan J, et al. Mast-cell sarcoma of the tibia. J Clin Pathol. 2007;60(4):424–5.PubMedCrossRef
5.
Zurück zum Zitat Vega-Ruiz A, Cortes JE, Sever M, et al. Phase II study of imatinib mesylate as therapy for patients with systemic mastocytosis. Leuk Res. 2009;33:1481–4.PubMedCrossRef Vega-Ruiz A, Cortes JE, Sever M, et al. Phase II study of imatinib mesylate as therapy for patients with systemic mastocytosis. Leuk Res. 2009;33:1481–4.PubMedCrossRef
6.
Zurück zum Zitat Hirayama Y, Konuma Y, Kohda K, et al. Systemic mastocytosis without the typical mutation of codon 816 successfully treated with imatinib. Nippon Naika Gakkai Zasshi. 2008;97:2542–5.PubMed Hirayama Y, Konuma Y, Kohda K, et al. Systemic mastocytosis without the typical mutation of codon 816 successfully treated with imatinib. Nippon Naika Gakkai Zasshi. 2008;97:2542–5.PubMed
7.
Zurück zum Zitat Chott A, Guenther P, Huebner A, et al. Morphologic and immunophenotypic properties of neoplastic cells in a case of mast cell sarcoma. Am J Surg Pathol. 2003;27:1013–9.PubMedCrossRef Chott A, Guenther P, Huebner A, et al. Morphologic and immunophenotypic properties of neoplastic cells in a case of mast cell sarcoma. Am J Surg Pathol. 2003;27:1013–9.PubMedCrossRef
8.
Zurück zum Zitat Horny HP, Metcalfe DD, Bennett JM, et al. Mastocytosis. In: Swerdlow SH, Campo E, Harris NL, et al., editors. WHO Classification of tumours of haematopoietic and lymphoid tissues. Lyon: IARC; 2008. p. 54–63. Horny HP, Metcalfe DD, Bennett JM, et al. Mastocytosis. In: Swerdlow SH, Campo E, Harris NL, et al., editors. WHO Classification of tumours of haematopoietic and lymphoid tissues. Lyon: IARC; 2008. p. 54–63.
9.
Zurück zum Zitat Druker BJ, Guilhot F, O’Brien SG, et al. Five-year follow-up of patients receiving imatinib for chronic myeloid leukemia. N Engl J Med. 2006;355:2408–17.PubMedCrossRef Druker BJ, Guilhot F, O’Brien SG, et al. Five-year follow-up of patients receiving imatinib for chronic myeloid leukemia. N Engl J Med. 2006;355:2408–17.PubMedCrossRef
10.
Zurück zum Zitat Longley BJ, Reguera MJ, Ma Y. Classes of c-KIT activating mutations: proposed mechanisms of action and implications for disease classification and therapy. Leuk Res. 2001;25:571–6.PubMedCrossRef Longley BJ, Reguera MJ, Ma Y. Classes of c-KIT activating mutations: proposed mechanisms of action and implications for disease classification and therapy. Leuk Res. 2001;25:571–6.PubMedCrossRef
11.
Zurück zum Zitat Akin C, Fumo G, Yavuz AS, Lipsky PE, Neckers L, Metcalfe DD. A novel form of mastocytosis associated with a transmembrane c-kit mutation and response to imatinib. Blood. 2004;103:3222–5.PubMedCrossRef Akin C, Fumo G, Yavuz AS, Lipsky PE, Neckers L, Metcalfe DD. A novel form of mastocytosis associated with a transmembrane c-kit mutation and response to imatinib. Blood. 2004;103:3222–5.PubMedCrossRef
12.
Zurück zum Zitat Frost MJ, Ferrao PT, Hughes TP, Ashman LK. Juxtamembrane mutant V560GKit is more sensitive to Imatinib (STI571) compared with wild-type c-kit whereas the kinase domain mutant D816VKit is resistant. Mol Cancer Ther. 2002;1:1115–24.PubMed Frost MJ, Ferrao PT, Hughes TP, Ashman LK. Juxtamembrane mutant V560GKit is more sensitive to Imatinib (STI571) compared with wild-type c-kit whereas the kinase domain mutant D816VKit is resistant. Mol Cancer Ther. 2002;1:1115–24.PubMed
13.
Zurück zum Zitat Hartmann K, Wardelmann E, Ma Y, et al. Novel germline mutation of KIT associated with familial gastrointestinal stromal tumors and mastocytosis. Gastroenterology. 2005;129:1042–6.PubMedCrossRef Hartmann K, Wardelmann E, Ma Y, et al. Novel germline mutation of KIT associated with familial gastrointestinal stromal tumors and mastocytosis. Gastroenterology. 2005;129:1042–6.PubMedCrossRef
14.
Zurück zum Zitat Heinrich MC, Joensuu H, Demetri GD, et al. Phase II, open-label study evaluating the activity of imatinib in treating life-threatening malignancies known to be associated with imatinib-sensitive tyrosine kinases. Clin Cancer Res. 2008;14:2717–25.PubMedCrossRef Heinrich MC, Joensuu H, Demetri GD, et al. Phase II, open-label study evaluating the activity of imatinib in treating life-threatening malignancies known to be associated with imatinib-sensitive tyrosine kinases. Clin Cancer Res. 2008;14:2717–25.PubMedCrossRef
15.
Zurück zum Zitat Hoffmann KM, Moser A, Lohse P, et al. Successful treatment of progressive cutaneous mastocytosis with imatinib in a 2-year-old boy carrying a somatic KIT mutation. Blood. 2008;112:1655–7.PubMedCrossRef Hoffmann KM, Moser A, Lohse P, et al. Successful treatment of progressive cutaneous mastocytosis with imatinib in a 2-year-old boy carrying a somatic KIT mutation. Blood. 2008;112:1655–7.PubMedCrossRef
16.
Zurück zum Zitat Horny HP, Sotlar K, Valent P. Mastocytosis: state of the art. Pathobiology. 2007;74:121–32.PubMedCrossRef Horny HP, Sotlar K, Valent P. Mastocytosis: state of the art. Pathobiology. 2007;74:121–32.PubMedCrossRef
Metadaten
Titel
Successful treatment of mast cell sarcoma of the uterus with imatinib
verfasst von
Hong Bing Ma
Xia Xu
Wei Ping Liu
Hong Chang
Fan Zeng
Yu Chun Wang
Publikationsdatum
01.11.2011
Verlag
Springer Japan
Erschienen in
International Journal of Hematology / Ausgabe 5/2011
Print ISSN: 0925-5710
Elektronische ISSN: 1865-3774
DOI
https://doi.org/10.1007/s12185-011-0952-2

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