Objectives: We report a new case of squamous metaplasia because of its interest and subtle differential diagnosis with other bladder pathologies.

Methods: We report the case of a male patient with history of previous neoplasia with an exophytic lesion of the bladder wall discovered on follow-up. Pathological diagnosis after TUR was bladder squamous metaplasia.

Results: Follow-up is performed by ultrasound, cystoscopy, and urine cytology in adherence to clinical guidelines due to the possibility of transformation into squamous cell carcinoma.

Conclusions: Urothelium is able to develop non neoplastic transformations such as squamous metaplasia. The importance of such transformations depends on proper diagnosis and follow-up due to their ability to transform into a neoplastic process.

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http://dx.doi.org/10.4321/s0004-06142005000100013DOI Listing

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