Chapter 14: Cytoprepatory Techniques Flashcards
What is the the microscopic examination of individual cells and their morphology known as?
Cytology.
What is an example of a gynecologic cytology specimen?
Endocervical cells, cervical cells or vaginal cells.
What nongyn specimen deteriorates quickly (within 24 hours) and should either be brought to the lab immediately for cytoprep or placed in a solution?
Urine.
What fixative causes a different chromatin pattern for cytology fixation, making diagnosis difficult?
Formalin fixation should be avoided because it makes different chromatin patterns.
For best fixation/ preservation of cyto smears, fixation should occur within what timeframe?
2 seconds or the slide will begin to airdry rapidly.
To prevent cells from drying after fixation, some commercial cytology spray fixatives add:
Polyethylene glycol can be added to provide a protective coating for the slide.
A sputum sample was obtained, homogenized and then centrifuged into a pellet. The best method of smear preparation from that pellet is:
Pull-apart smears.
Before staining, remove the Carbowax on slides that were fixed with a commercial fixative by soaking the slide in:
Alcohol, usually about a 10 minute soak in 95% alcohol will remove the Carbowax.
To collect as many cells as possible from sparsely cellular urine, what should you do with the urine?
Spin it in the centrifuge to collect a pellet.
A method for obtaining specimens from superficial or deep organs is:
Fine Needle Aspiration (FNA).
After smears are prepared from the first drops of cellular material from an FNA, any residual material can be removed by rinsing the needle in what?
The initial drops from an FNA needle can be used to make pull part smears, the needle then can be rinsed in physiologic saline to recover any residual specimen.
The pathologist wants to determine if enough cells were collected during FNA. The air dried slide can be stained with:
Diff-Quik staining can be used to determine specimen adequacy. The toluidine blue wet film method can be also used to determine cellularity during procedures.
What cytoprep technique could have an IHC stain done on it without having to change IHC protocols?
Cell blocks because they can be processed as normal.
What are cell blocks usually fixed in?
Formalin for processing as normal tissue.
Loose cellular material can usually be held together to make a cell block except for what kind of material?
Resin.
What dyes are commonly found in the EA counterstain of the PAP stain”
Bismarck brown, Eosin Y and Light green SF yellowish.
What kind of hematoxylin does the PAP stain use?
Harris or Gill hematoxylin.
What is the mordant in the OG-6 counterstain in the PAP stain?
Phototungstic acid.
Orange G in the PAP stain will demonstrate which component of the epithelial cells.
Tonofilaments in keratin.
What cells will stain pink in the PAP stain?
Superficial squamous epithelial cells.
Metabolically inactive epithelial cells will be what color in the PAP stain?
Various shades of pink while the metabolically active epithelial cells will be blue-green.
The light green in the various EA formulations for PAP staining is very sensitive to:
Light.
What stain will show a metachromatic staining of cytology cells?
Toluidine blue will show this effect in unfixed cells.
T/F: A false negative diagnosis can result from poor preparation of slides to be stained for cytology.
True.
T/F: Most fresh nongyn specimens for cytological examination can be stored in a refrigerator for 24 to 48 hours without fixation.
True, except for urines.
T/F: Fixation of cytology cells while they are in liquid state produces flat cells that are spread out.
False, the cells will appear smaller and more dense.
T/F: Cotton swabs should NOT be used to collect and smear cytology slides.
True.
T/F: Conventional PAP tests provide good quality preparations for use with automated computer image analysis.
False, specimens that have been fixed in ThinPrep or Surepath should be used for computer analysis.
T/F: Hematoxylin used in PAPs can only be used regressively.
False, they can be either progressive or regressive must like with routine H&E.
T/F: Orange G stains keratinized cells.
True.