F2. HISTOPATHOLOGY SECTION Flashcards
different procedures that have been adopted for the preparation of materials and tissue for microscopic examination.
Histopathologic Techniques
12 steps in Histopathologic Techniques:
- Numbering
- Fixation
- Dehydration
- Clearing
- Wax impregnation
- Embedding
- Blocking
- Trimming
- Sectioning
- Staining
- Mounting
- Labelling
- Validates if the specimen is adequate or good for tissue processing
- 1st person that will receive the specimen and put it into the container
container contains?
Receptionist
fixatives
Fixatives of container:
- proportional to the size of the specimen
- clear
- unbreakable
- wide mouthed bottle
2 specimen source?
- Bilateral organs
- Miscellaneous
Examples:
Extremities, kidneys, lungs and ovaries
[part of the body that have two sides; mirror organ images of one another]
Bilateral organs
Examples:
age, sex, ward
Miscellaneous
Basic information needed for numbering & labelling?
- date & time
- name of the patient
- specimen number
what are the meaning of these initials, C, A, S, when it comes to specimen number?
C - cytology specimen
A - anatomical specimen
S - surgical specimen
most critical step in histopathological
techniques
2 aims of fixation?
Fixation
- Primary aim
- Secondary aim
preserve the morphology
and chemical constituents of the tissue.
Primary aim
protect and harden the
specimen for further handling
Secondary aim
Effects of Fixatives?
- Inhibit bacterial growth and reduce the risk of infections
- Act as mordant or accentuator - accelerates the staining process.
Mordant - chemical that serves as a link between the dye and the substrate
Accentuator - chemical substances which increases the color intensity, crispness, and selectivity of stain
2 types of Fixatives:
AC
- according to actions
- according to composition
3 Types of Fixatives according to action?
- Microanatomic fixative
- Cytological fixative
- Histochemical fixative
Involves small tissue or organ
chemicals under this fixative?
microanatomic fixative
10% formol saline
10% neutral buffered formalin
Involves body fluid or secretion
2 fixatives under this?
cytological fixative
- nuclear fixatives
- cytoplasmic fixatives
- flemming’s fluid
- bouin’s fluid
- heidenhain’s susa
nuclear fixatives
- kelly’s fluid
- orth’s fluid
cytoplasmic fixatives
Involves tissue containing labile substances
[labile - compounds or materials that are easily transformed (often by biological activity)]
chemicals under this fixative?
histochemical fixative
- 10% formol saline
- absolute ethyl alcohol
- acetone
2 types of fixative according to composition?
- simple fixative
- compound fixative
Uses only one chemical for fixation
2 types of fixative under this?
simple fixative
- aldehyde
- metallic fixatives
- formaldehyde
- glutaraldehyde
aldehyde
- mercuric chloride
- chromate fixatives
- lead fixatives
metallic fixatives
use of two or more chemicals for fixation
compound fixative
- Utilizing chemical known as dehydrating agents
- Removing of intracellular and extracellular water and fixatives in the tissue
dehydration
examples of chemicals used in dehydration?
- alcohol - most commonly used
- acetone
- diaxane
- tetrahydrofuran
- cellosolve
cellosolve is also known as?
ethylene glycol monoethyl ether
Removing of dehydrating agents
most commonly used?
Clearing
Xylene
- Also known as INFILTRATION
- the clearing agent is completely removed from the tissue and replace by a medium that will completely fill all the tissue cavities.
- paraffin wax impregnation
the simplest, most common and best embedding medium used for routine tissue processing
impregnation
paraffin
- Also known as CASTING OR BLOCKING
- the impregnated tissue is placed into a precisely arrange position in a mold containing medium which is then allowed to solidify
four types of tissue impregnation?
embedding
- paraffin wax
- celloidin
- gelatin
- plastic
Allows the medium to solidify to produce tissue block
blocking
- Process of removing excess wax after embedding
- Can use knife/blade or heated spatula
trimming
- Also known as CUTTING OR MICROTOMY
- processed tissue is cut into uniformly thin slices to facilitate studies under microscope
machine or instrument used for cutting sections of tissue?
sectioning
microtome
6 types of microtome?
- rocking microtome
- rotary microtome
- sliding microtome
- freezing microtome
- cryostat microtome
- ultrathin microtome
Simplest and oldest type of microtome
Rocking Microtome
for cutting serial sections of tissue specimen
Rotary Microtome
Most dangerous type of microtome
Sliding Microtome
For urgent surgical biopsies specimen
Freezing Microtome
- Permits rapid penetration of tissue biopsies for surgical pathology
- Also known as COLD MICROTOME
Cryostat microtome
Specimen for electron microscope
Ultrathin Microtome
Tissue constituent are demonstrated in sections by direct interaction with dye or staining solution producing coloration of the active tissue component
staining
staining:
- Utilizes micro-anatomical studies of tissue
- regressive staining method
hematoxylin & eosin staining
- solution in which the specimen is embedded, generally under a cover glass.
- may be liquid, gum or resinous
- soluble in water, alcohol or other solvents
- sealed from the external atmosphere by non-soluble ringing media
mounting
specimens for examination in the histopathology section?
- gynecological specimen
- non-gynecological specimen
- urine
- Performed regularly even in pregnant women without undue risk
- EXAMPLE: Vaginal smear
Gynecologcial specimen
EXAMPLE: Respiratory Tract specimens
examples of respiratory tract specimens?
Non-gynecological specimen
a. sputum
b. BAL - bronchoalveolar lavage
Determine the presence of urethral cancer
Urine