Table 1.

Clinical, laboratory, and genetic features of patients with SM (n = 180) grouped according to the presence or absence of CTMCs in their blood

VariableCTMC(<10 CTMCs per mL)
(n = 97)
CTMC+(≥10 CTMCs per mL)
(n = 83)
P
No./Total%MedianRangeNo./Total%MedianRange
Clinical and laboratory features          
 Age, y   54 19-85   62 26-81 .0001 
 Male sex 59/97 61   35/83 42   .02 
 Advanced SM * 1/97   24/83 29   <.0001 
 Anaphylaxis 40/97 41   9/83 11   <.0001 
 Skin lesions 59/97 61   64/83 77   .04 
 Organomegalies 3/97   38/83 46   <.0001 
 WBC × 109/L   6.4 3.5-15.5   6.7 1.2-79 .62 
 Hemoglobin, g/L   144 106-176   133 86-168 <.0001 
 Platelets × 109/L   223 134-644   196 20-437 .008 
 Serum baseline tryptase, μg/L   22.6 2.2-485   108 17-1330 <.0001 
 Serum lactate dehydrogenase, IU/L   170 96-643   152 69-683 .03 
 Serum alkaline phosphatase, IU/L   66 38-146   99 35-990 <.0001 
 Serum β2-microglobulin, μg/mL   2.0 1.2-4.0   2.8 1.6-1.1 <.0001 
 Plasma histamine, μg/dL   0.06 0.01-2   0.13 0.04-1.1 <.0001 
 Serum immunoglobulin E, kU/L   25.9 1.9-1379   5.4 1.9-334 <.0001 
 Loss of bone mass 46/97 47   42/83 51   .8 
 Bone sclerosis 3/97   12/83 15   .007 
 % BMMCs by flow cytometry   0.09 0.002-0.9   0.4 0.02-37 <.0001 
Gene mutational profile          
 % of patients with KITD816V mutation 92/96 96   81/82 99   .24 
 Multilineal KITD816V in BM 30/96 31   78/82 95   <.0001 
 BM KIT VAF   <0.01 <0.01-33.9   15 <0.01-43.3 <.0001 
 BM KITD816V+ cells ≥1% 25/91 28   61/66 92   <.0001 
 PB KIT VAF   <0.01 <0.01-30.6   6.5 <0.01-46 <.0001 
 PB KITD816V+ cells ≥6% 4/66   39/73 53   <.0001 
 Pathogenic S/A/R/E/D mutations 0/19   7/46 15   .1 
Disease progression 0/97   19/83 23   <.0001 
Deaths 0/97   5/83   .02 
VariableCTMC(<10 CTMCs per mL)
(n = 97)
CTMC+(≥10 CTMCs per mL)
(n = 83)
P
No./Total%MedianRangeNo./Total%MedianRange
Clinical and laboratory features          
 Age, y   54 19-85   62 26-81 .0001 
 Male sex 59/97 61   35/83 42   .02 
 Advanced SM * 1/97   24/83 29   <.0001 
 Anaphylaxis 40/97 41   9/83 11   <.0001 
 Skin lesions 59/97 61   64/83 77   .04 
 Organomegalies 3/97   38/83 46   <.0001 
 WBC × 109/L   6.4 3.5-15.5   6.7 1.2-79 .62 
 Hemoglobin, g/L   144 106-176   133 86-168 <.0001 
 Platelets × 109/L   223 134-644   196 20-437 .008 
 Serum baseline tryptase, μg/L   22.6 2.2-485   108 17-1330 <.0001 
 Serum lactate dehydrogenase, IU/L   170 96-643   152 69-683 .03 
 Serum alkaline phosphatase, IU/L   66 38-146   99 35-990 <.0001 
 Serum β2-microglobulin, μg/mL   2.0 1.2-4.0   2.8 1.6-1.1 <.0001 
 Plasma histamine, μg/dL   0.06 0.01-2   0.13 0.04-1.1 <.0001 
 Serum immunoglobulin E, kU/L   25.9 1.9-1379   5.4 1.9-334 <.0001 
 Loss of bone mass 46/97 47   42/83 51   .8 
 Bone sclerosis 3/97   12/83 15   .007 
 % BMMCs by flow cytometry   0.09 0.002-0.9   0.4 0.02-37 <.0001 
Gene mutational profile          
 % of patients with KITD816V mutation 92/96 96   81/82 99   .24 
 Multilineal KITD816V in BM 30/96 31   78/82 95   <.0001 
 BM KIT VAF   <0.01 <0.01-33.9   15 <0.01-43.3 <.0001 
 BM KITD816V+ cells ≥1% 25/91 28   61/66 92   <.0001 
 PB KIT VAF   <0.01 <0.01-30.6   6.5 <0.01-46 <.0001 
 PB KITD816V+ cells ≥6% 4/66   39/73 53   <.0001 
 Pathogenic S/A/R/E/D mutations 0/19   7/46 15   .1 
Disease progression 0/97   19/83 23   <.0001 
Deaths 0/97   5/83   .02 

PB, peripheral blood; S/A/R/E/D, SRSF2, ASXL1, RUNX1, EZH2, and DNMT3A; VAF, variant allele frequency; WBC, white blood cell.

*

Eleven patients had ASM, 12 had SM-AHN, and 2 had mast cell leukemia.

One patient had the KITD816H mutation.

Three patients had ASM-AHN, 1 had ASM, and 1 had MCL.

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