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Prostatic Squamous Metaplasia
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Prostatic Squamous Metaplasia

The normal glandular epithelium of the prostate has undergone squamous metaplasia.
There are no longer discernible lumens to the glands, and the epithelium is not columnar.
This metaplastic change was seen in glands adjacent to a focus of prostatic infarct.
(Description By:H. Yamase, M.D. )
(Image Contrib. by: UCHC )
Squamous metaplasia prostate
Etiology

Squamous metaplasia is usually an adaptive response of marginally viable epithelial cells adjacent to infarcts, which in turn may be secondary to massive prostatic enlargement.
Pathogenesis

The marginally viable prostatic epithelial cells adjacent to an infarct will undergo squamous metaplasia to survive the circumstances of the local environment.,
Epidemiology

The epidemiology is that of benign prostatic hyperplasia.
General Gross Description

There are no specific gross features.
Since this metaplastic change is a microscopic finding associated with benign prostatic hyperplasia (BPH), the gross feature will be that of BPH.
General Microscopic Description

The normal ductal and glandular epithelial cells of the prostate are transformed to squamous cells.
The cells are no longer cuboidal or columnar but flattened.
These cells may show keratinization and squamous pearl formation.
Squamous metaplasia in the prostate can be seen adjacent to infarcts.
Clinical Correlation

Squamous metaplasia of the prostate can be seen adjacent to infarcts due to prostatic enlargement.
The clinical picture will be that of benign prostatic hyperplasia.
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 48.
Squamous metaplasia prostate
Synopsis by: Harold Yamase M.D. (T77100M73220)[178]
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