Urinary Bladder - Necrosis
comment:Necrosis of the urothelium may be due to cytotoxicity, including direct chemical administration or irritation from crystals and calculi and may be associated with ulceration and inflammation. Necrosis is recognized by cellular eosinophilia and fragmentation, as well as nuclear pyknosis and karyorrhexis ( Figure 1 ). Degeneration may precede necrosis, but degeneration by itself is infrequently diagnosed. Areas of previous necrosis can undergo regeneration and heal or result in urothelial hyperplasia.
recommendation:Necrosis of the urothelium should be diagnosed and given a severity grade. The pathologist should use his or her judgment in deciding whether or not secondary lesions associated with necrosis are prominent enough to warrant a separate diagnosis.
related links:Urinary Bladder - Ulcer
Cohen SM. 1989. Toxic and nontoxic changes induced in the urothelium by xenobiotics. Toxicol Appl Pharmacol 101:484-498. Abstract: http://www.ncbi.nlm.nih.gov/pubmed/2603162
Cohen SM, Wanibuchi H, Fukushima S. 2002. Lower urinary tract. In: Handbook of Toxicologic Pathology, 2nd ed (Haschek WM, Rousseaux CG, Wallig MA, eds). Academic Press, San Diego, 337-362. Abstract: http://www.sciencedirect.com/science/article/pii/B9780123302151500351
Greaves P. 2012. Urinary bladder. In: Histopathology of Preclinical Studies, 4th ed. Elsevier, Amsterdam. Abstract: http://www.sciencedirect.com/science/book/9780444538567
Web page last updated on: June 19, 2014