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Living with Diaphyseal medullary stenosis-bone malignancy syndrome

A very rare inherited bone condition with bone damage, fractures, and a risk of a bone cancer.

Understanding Diaphyseal medullary stenosis-bone malignancy syndrome

Diaphyseal medullary stenosis-bone malignancy syndrome is a very rare inherited bone condition that also carries a risk of bone cancer.

It is described as a bone dysplasia/cancer syndrome. Clinical features include areas of bone damage from poor blood supply (bone infarctions), abnormal growth of the outer bone layer, fractures caused by weakened bone, and a type of bone cancer called bone sarcoma (malignant fibrous histiocytoma).

Signs & symptoms

GARD's list of less common features includes:

  • Bone infarctions (bone damage from poor blood supply)
  • Fractures from weakened bone
  • Bone sarcoma
  • Easy bruising
  • Thin, soft skin
  • Early graying of hair

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists, cancer specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MTAP are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Cancer specialists (oncologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing of the MTAP gene help my relatives?
How often should the bones be scanned?
Which specialists, such as orthopedics and oncology, should follow my care?

Quick facts

InheritanceAutosomal Dominant
GenesMTAP

Changes in the MTAP gene cause this condition. It is autosomal dominant, so a changed copy of the gene from one parent can be enough.

Genetic

Also known as: bone dysplasia with malignant fibrous histiocytoma; bone dysplasia with medullary fibrosarcoma; bone dysplasia-medullary fibrosarcoma syndrome; diaphyseal medullary stenosis-malignant fibrous histiocytoma syndrome; dms-mfh; hardcastle syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Diaphyseal medullary stenosis-bone malignancy syndromeGARD ID 10072 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Diaphyseal medullary stenosis-bone malignancy syndrome.

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