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Squamous Metaplasia
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Squamous Metaplasia

The epithelium (Ep) of the bladder mucosa has undergone squamous metaplasia. The urothelium is no longer transitional in character.
The lamina propria (LP) shows chronic inflammation.
A portion of the muscular wall (M) is noted in the lower field.
(Description By:H. Yamase, M.D. )
(Image Contrib. by: UCHC )
Squamous Metaplasia of Bladder
Etiology

The etiology of squamous metaplasia is dependent upon the underlying pathologic process, i.e, bladder calculi, extrophy of the bladder, schistosomiasis.
Probably normal in women.
Pathogenesis

The normal transitional epithelium will undergo squamous metaplasia as an adaptive change to chronic irritation, such as from bladder calculi.,
Epidemiology

The epidemiology is dependent on the underlying disease process.
Squamous metaplasia is found in a large percentage of women with no abnormalities.
General Gross Description

There is no striking gross changes to the epithelial lining of the bladder.
There may be a perception that the epithelial lining is paler and thicker than normal.
General Microscopic Description

The normal transitional epithelium of the bladder is replaced by stratified squamous epithelium.
Clinical Correlation

Squamous metaplasia may occur in situations of chronic irritation such as bladder calculi, extrophy of the bladder and schistosomiasis.
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 48
Squamous Metaplasia of Bladder
Synopsis by: Harold Yamase M.D. (T74000M73220)[177]
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