Table 1.
SM criteria
Major SM criterion | Multifocal dense infiltrates of MCs (≥15 MCs in aggregates) in BM biopsies and/or in sections of other extracutaneous organ(s) |
Minor SM criteria | a. >25% of all MCs are atypical cells (type I or type II) on BM smears or are spindle-shaped in MC infiltrates detected on sections of visceral organs |
b. KIT point mutation at codon 816 in the BM or another extracutaneous organ | |
c. MCs in BM or blood or another extracutaneous organ exhibit CD2 and/or CD25 | |
d. Baseline serum tryptase level >20 ng/mL (in case of an unrelated myeloid neoplasm, item d is not valid as an SM criterion) | |
If at least 1 major and 1 minor or 3 minor SM criteria are fulfilled, the diagnosis of SM can be established |
SM criteria were defined by the WHO in 2001 and have been confirmed in the WHO updates of 2008 and 2016.