Table 1

WHO classification of mastocytosis

VariantSubvariants
Cutaneous mastocytosis Urticaria pigmentosa 
 Maculopapular 
 Diffuse 
 Solitary mastocytoma of skin 
Indolent systemic mastocytosis Smoldering SM 
 Isolated bone marrow mastocytosis 
Systemic mastocytosis with an associated clonal hematologic non–MC-lineage disease SM-AML 
 SM-MDS 
 SM-MPD 
 SM-CEL or SM-HES 
 SM-CMML 
 SM-NHL 
Aggressive systemic mastocytosis  
MC leukemia  
MC sarcoma  
Extracutaneous mastocytom  
VariantSubvariants
Cutaneous mastocytosis Urticaria pigmentosa 
 Maculopapular 
 Diffuse 
 Solitary mastocytoma of skin 
Indolent systemic mastocytosis Smoldering SM 
 Isolated bone marrow mastocytosis 
Systemic mastocytosis with an associated clonal hematologic non–MC-lineage disease SM-AML 
 SM-MDS 
 SM-MPD 
 SM-CEL or SM-HES 
 SM-CMML 
 SM-NHL 
Aggressive systemic mastocytosis  
MC leukemia  
MC sarcoma  
Extracutaneous mastocytom  

Adapted from Swerdlow et al.

MC indicates mast cell; SM, systemic mastocytosis; AML, acute myeloid leukemia; MDS, myelodysplastic syndrome; MPN, myeloproliferative neoplasia; CEL, chronic eosinophilic leukemia; HES, hypereosinophilic syndrome; CMML, chronic myelomonocytic leukemia; and NHL, non-Hodgkin lymphoma.

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