A unique morphologic change has been described in the submucosa of the
urinary bladder of mice since the 1950s. These lesions, variously ref
erred to as vegetative changes, reactive lesions, submucosal granuloma
s, leiomyosarcomas, atypical hemangiosarcomas, or submucosal mesenchym
al tumors have been considered rare and of questionable etiology. Alth
ough the morphologic criteria are fairly well defined, the pathobiolog
y of the lesion is not well characterized and the previously listed no
menclature reflects this uncertainty. The lesion may not be limited to
the urinary bladder, the cell of origin is controversial, the biology
is unknown, and whether the lesion is granulomatous, hypertrophy, hyp
erplasia, metaplasia, or a benign or malignant neoplasm is not well de
fined. Data compiled from multiple sources are discussed to review the
strain of mouse most often affected, sex, age at diagnosis, anatomic
location, incidence, descriptive morphology, immunohistochemical stain
ing results, and other features of the submucosal mesenchymal tumor of
the mouse urinary bladder. Presented are suggested terminology for th
e lesion, submucosal mesenchymal tumor of the mouse urinary bladder; t
he relevance of the tumor for human risk assessment; and discussion of
the possible histogenesis of this lesion from primitive mesenchymal c
ells of the submucosa (lamina propria) of the urinary bladder of mice.