HISTO LAB HISTOTECH Flashcards
preparation of tissue slices or “sections” that can be examined visually with transmitted light
HISTOTECHNIQUE
Goal of HISTOTECHNIQUE
The tissue of the slices must have the same structural features as it had in the body
Accessioning involves the ff.
Specimen Receiving
Fixative
Labeling
The container must be _______________________________ in order to be used for HISTOTECHNIQUE
Large enough to hold the specimen without distortion
Fixative Ratio
1:20 (specimen- fixative)
Label for samples must have the ff.
- Hospital, registration, or case number
- Type or source of specimen
- Date and time of collection
Histopathology Requisition Form must have the following information:
- Patient details
- Specimen details
- Clinical or differential diagnosis
- Brief clinical history
- Surgical operations done
- Other pertinent information
Usually done by the pathologist, and involves cutting small sections and placed in a plastic cassette
GROSS EXAMINATION
TISSUE PROCESSING PROCESS
- FIXATION
1.5 DECALCIFICATION - DEHYDRATION
- CLEARING
- INFILTRATION/ IMPREGNATION
- EMBEDDING
- SECTIONING
- DEPARAFFINIZATION
- STAINING
- MOUNTING
tissue specimen is placed in solutions of chemicals that cross link proteins and inactivate degradative enzymes
FIXATION
Preserve tissue structure, prevent degeneration and autolysis
FIXATION
Duration for FIXATION
12-72 hours
2-4 hours for very small samples
2 types of Fixatives
Aldehydes and Alcohols
Types of Aldehyde preservative
- Buffered isotonic 37% Formaldehyde
- Glutaraldehyde
Fixative used for electron microscopy
Glutaraldehyde
Fixatives for cytologic smears
Alcohols (Methanol, Ethanol)
an optional procedure after fixation, involves the removal of calcium ions from the bone
DECALCIFICATION
Makes the bone soft and easy to cut
DECALCIFICATION
Types of Decalcifying Agents
- Strong Mineral Acid
- Weak Mineral Acid
- Chelating Agents
Examples for Strong Mineral Acid
- Nitric acid
- Hydrochloric acid
Examples for Weak Mineral Acid
- Formic Acid
- Trichloroacetic acid
Examples for Chelating Agents
EDTA
Duration for DECALCIFYING AGENTS
Days to Weeks
Most common Decalcifying Agent
NITRIC ACID
Process where water is extracted gradually by transfers through a series of increasing ETHANOL solutions, ending in 100% ethanol
DEHYDRATION
Dehydration is done in increasing concentration to avoid ______________________
Tissue Distortion
Progress of concentration in DEHYDRATION
70%-90%-100%
Chemical used for removing water in the tissue in Dehydration
ETHANOL
The process where the ethanol is replaced by an organic solvent miscible with both alcohol and the embedding medium
CLEARING
CLEARING gives the tissue a _______________ appearance
translucent
Example of Clearing Agents
Xylene and Toluene
most common clearing agent
Xylene
The process where the tissue is placed in melted paraffin wax in an oven
INFILTRATION/ IMPREGNATION
evaporates the clearing agent, and promote infiltration of paraffin to the tissue cavities
INFILTRATION/ IMPREGNATION
example for Automated Processing Mediums
- Tissue transfer machine (ROTARY TYPE)
- Fluid transfer machine (VACUUM TYPE)
The process where the specimen is placed in mold then filled with melted paraffin wax
EMBEDDING
EMBEDDING is also known as
Casting or Blocking
Ensures proper orientation of the specimen, as the mold is cooled to promote solidification
EMBEDDING
The process where the block is placed in a Microtome for cutting
SECTIONING
Cutting block used for cutting blocked tissues
Microtome
thickness for light microscopy
3-10um
thickness for electron microscopy
<1um
used to remove the wrinkles of the paraffin ribbon
Hot water bath
Involves the removal of the paraffin from the slide, and allows the tissue to adhere to the slide properly
DEPARAFFINIZATION
Allows the tissue to successfully interact with the stain
DEPARAFFINIZATION
incomplete removal of the paraffin in DEPARAFFINIZATION may affect the ___________________
STAIN
CHEMICALS for Deparaffinization
Xylene (for reverse of dehydration and clearing), PHAD (Projected Hot Air Deparaffinization)
Used to highlight the important features of the tissue as well as to enhance the tissue contrast
STAINING
anionic or negative charged tissue
BASOPHILIC
cationic or positive charged tissue
ACIDOPHILIC
STAINS used for staining tissues
- Hematoxylin and Eosin
- Periodic Acid Schiff
- Sudan- Black
- Metal Impregnation
Most common tissue stain
Hematoxylin and Eosin
stain for highlighting glycogen and mucin
Periodic Acid Schiff
stain for highlighting LIPIDS
Sudan- Black
used for staining neuronal tissue
Metal Impregnation
metals used in Metal Impregnation
Silver and Gold
The process which involves the placement of a protective glass coverslip on the slide with clear adhesive
MOUNTING
most common mounting agent
Mayer’s Egg Albumin