Abstract
When the tracheobronchial epithelium is damaged, mucous cells and basal cells proliferate in response to the injury. Mucous cells appear to play the dominant proliferative role and, resulting from a marked increase in their mitotic rate, pathological lesions are produced which include ‘goblet’ cell hyperplasia, stratification and noncornifying and cornifying epidermoid (squamous) metaplasias. These lesions, although morphologically dissimilar, are brought about by the wide and varied spectrum of phenotypic expression of mucous cells. Depending on the nature and extent of the injury, one or more of these lesions may be expressed simultaneously in the same specimen, and one lesion may change into another.
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Mcdowell, E.M., Beals, T.F. (1986). Hyperplasia, metaplasia and carcinoma in situ . In: Biopsy Pathology of the Bronchi. Biopsy Pathology Series. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3398-0_9
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