A 49 year old women suffered hematemesis, abdominal discomfort, nausea, bloating, ascitespermagna, and weightloss. Also found tetracted paplilla mamma, left axilla limphadenopathy diagnoses as chronic fibrosis by anataomic pathologist, and andominal autaneus mastocytosis. Radiology examinations show osteolytic bone lesions in 11 th and 12 th costae, both clavicles, corpus vertebrae and pelvic. …