H&E Staining Flashcards
1-3
Xylene 3mins
4,5,6
100% ETOH - 2mins and 30secs
100% ETOH - 2mins
95% ETOH - 2mins and 30secs
7
Running tap water - 3mins
8
Hematoxylin - 5mins
9
Running tap water - 2mins
10
Acid alcohol - 1min and 30secs
11
Bluing agent - 1min and 30secs
12
95% ETOH - 1min
13
Eosin - 4 mins
14,15,16
95% ETOH - 2mins
100% ETOH - 3mins
100% ETOH - 3mins
17,18
Xylene - 3mins
Purpose of first 3 xylene
Deparaffinization
What is not included during frozen section biopsy?
First 3 xylene
Purpose of decreasing concentration of ETOH?
Rehydration
Purpose of rehydration
To make hematoxylin penetrate better by opening the tissue pores
What happens if rehydration is not done appropriately
Hematoxylin will not be absorbed
Primary stain
Hematoxylin
Purpose of acid alcohol
Differentiator or Decolorizer
Enhance the performance of BLUING agent and remove excess hematoxylin
Enhance the performance of BLUING agent and remove excess hematoxylin
Acid alcohol
Bluing agent can be:
Scott’s tap water
Ammonia water
Scott’s tap water
Sodium bicarbonate NaHCO₃ + Magnesium sulfate MgSO4
is a bluing solution used in histology to intensify the staining of cell nuclei and basophilic structures in tissue sections after hematoxylin staining
Scott’s solution
Purpose of bluing agent
Enhances primary stain (hematoxylin)
Enhances eosin stain
95% ETOH
Acidic stain
Counter stain
Secondary stain
Background stain
Eosin
Purpose of increasing concentrations of ETOH
Dehydration
Purpose of dehydration
Remove water in preparation for mounting with xylene
Purpose of last batch of xylene
Increase the refractive index
Important for easier mounting
is the corner stone of tissue-based diagnosis
The process stains thin tissue sections so that pathologists can visualize tissue morphology
Hematoxylin and Eosin (H&E) staining
The process uses a hematoxylin dye to stain cell nuclei (and other parts)_____ and an eosin dye to stain other structures____
blue
pink or red
binds strongly to acids and consequently binds to nuclear DNA and stains nuclei blue.
Properly applied, this technique provides exceptional detail of tissue structure and the makeup of the cells.
This detail is required for tissue-based diagnosis, particularly in the detection and classification of infection, cancer or metabolic disease
Hematoxylin
plays a significant role in tissue-based diagnosis by coloring otherwise transparent tissue sections, and allowing cell structures including the cytoplasm, nucleus, and organelles and extra-cellular components to be clearly visible under the microscope
Routine H&E staining
In a histology laboratory, all specimens are initially stained with_____ and additional stains are only ordered if additional information is needed to provide a more detailed analysis.
H&E
The term______ is used by pathologists to indicate any area of damage, infection, inflammation, tumor, necrosis or otherwise abnormal tissue.
lesion
ROUTINE H&E STAINING in Paraffin Embedded Section
Progressive or Regressive?
Regressive Staining
Routine H&E staining
Fixation: Most fixatives can be used except_____ solutions which inhibit hematoxylin.
osmic acid
Differentiate in_______ (________)
1% acid-alcohol
1 ml concentrated HCl to 99 ml of 80% ethyl alcohol
Bluing agent
Blue in_______ (average of 5 minutes) or ________until the sections appear blue (about 30 seconds).
ammonia water
1% aqueous lithium carbonate
Counterstain with ______for 5 minutes. If alcoholic eosin is used, the time can be reduced to 30 seconds or 1 minute
5% aqueous eosin
For tissues fixed with_______, the staining time in hematoxylin should be increased slightly while duration of eosin staining should be reduced
mercuric chloride
The following staining methods are commonly employed for frozen sections, the choice depending upon the personal preference of the pathologist and the type of tissue section to be stained.
- Hematoxylin-Eosin method
- Thionine method
- Polychrome Methylene Blue method
- Alcoholic Pinacyanol method
H & E staining of Frozen Sections for Rapid Diagnosis
Progressive or Regressive?
Progressive Staining