Scholars Journal of Medical Case Reports, pp.1-5, 2024 (Peer-Reviewed Journal)
Systemic mastocytosis(SM) is an extremely rare disease and is characterized by clonal proliferation of mast cells in any
part of the body. SM patients are prone to developing cancer. Although the relationship between lung adenocarcinoma
and SM is unclear, they share similar mutations. A female patient in her 40s presented with complaints of shoulder pain
and unexpected weight. Later, the patient was diagnosed with lung adenocarcinoma. Additionally, systemic
mastocytosis was detected while investigating her B symptoms and anemia. Induction chemotherapy with carboplatin
and paclitaxel was decided as initial treatment. She did not respond to 3 cycles of this chemotherapy regimen.
Radiotherapy with etoposide and cisplatin was applied as second-line treatment. Although the size of the lung
adenocarcinoma was stable, her anemia, shoulder pain, B symptoms, and cachexia improved after second-line treatment.
We present a case of synchronous lung adenocarcinoma and systemic mastocytosis presenting with B symptoms and
shoulder pain.
Keywords: Anemia, Lung Carcinoma, Systemic Mastocytosis, Synchronous.