Fresh tissue examination Flashcards
Simplest & least invasive
using 25g 10cc
Fine needle aspiration
Removes cells & small amount of the surrounding tissues
Core needle biopsy
Takes out more surrounding tissue & abnormality but not all
Incisional biopsy
Removing the entire area in question
Excisional biopsy
Used in obtaining full-thickness skin spx using a circular blade (3-4mm cylindrical core)
Punch biopsy
Small fragments are removed from a surface
Shave biopsy
Tissue is scooped/spooned to remove growths in endometrium/cervical canal
Curettings
specimen is immersed in a watch glass w/ isotonic salt soln
Teasing/Dissociation
Pieces of specimen are forcibly compressed with another slide w/ a cover glass
Squash prep (< 1mm)
Used in cytological exams
smear prep
method where secretions are uniformly distributed & directly applied on the slide
streaking
method where mucous is gently spread into a moderately thick film
spreading
method where FNAB specimens are dispersed evenly over the surface of the 2 slides
Pull-apart
A surface of a freshly cut piece of tissue & pressed on the surface of a clean slide w/o destroying their intercellular relationship
Touch prep (impression smear)
Commonly used in
- rapid patho dx
- enzyme histochemistry
- dx of lipids & carbs
- immunofluorescent & immunohistochemical staining
- neuropatho
Frozen sections
slow freezing can cause distortion due to
Ice crystal artifacts
Methods used for freezing & which is the most rapid among them
liquid nitrogen (most rapid)
isopentane cooled by liq. nitrogen
CO2 gas
Aerosol sprays
Procedure where different temps between tissue & knife are used
CO2 gas used
Cold knife procedure
Optimum condition for cold knife
Knife:
Tissue:
Environment:
Knife: -40 to -60°C
Tissue: -5 to -10°C
Environment: 0 to - 5°C
Procedure where sections are cut in isothermic condition (____)
insulated rotary microtome
Cryostat (-18 to -20°C)
Temp of cryostat cold chamber
-5 to -30°C
Conventional tissue processing
Fixation
Decalcification (optional)
Dehydration
Clearing
Impregnation
Embedding (casting/blocking)
Trimming
Sectioning
Staining
Mounting
Labelling