Histology & Cytology Flashcards

1
Q

What is Histology?

A

Tissues are processed to see malignancy under microscope. Can be fresh or fixed.

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2
Q

Fixation

A
  • Submerged in solution ASAP
  • 10-20x volume of specimen
  • Solution denatures protein (prevents autolysis)
  • Usually neutral buffered formalin (rarely glutaraldehyde or B5)
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3
Q

Grossing

A
  • Description done by pathologists
  • Sliced into 3-5mm pieces to go into cassettes
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4
Q

Decalcifying

A
  • Removes calcium from bone or scar tissue
  • Must be fixed before decalcified
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5
Q

Dehydration

A

Removal of water using increasing strengths of alcohol (ethanol or acetone)

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6
Q

Clearing

A
  • Removal of dehydration agent using xylene (could be toluene or histoclear)
  • Decreases the cloudiness of a specimen (poor dehydration = milky xylene (water in xylene)
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7
Q

Infiltration

A
  • Removal of clearant
  • Infiltration of paraffin wax (must be dewaxed before stain or stain won’t penetrate)
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8
Q

Mounting

A

Permount + coverslip

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9
Q

Resinous Mount

A

Permount, aqueous mount, gelatin

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10
Q

STAT Processing

A
  • 2-4 hours instead of 12-16
  • Sections frozen by cryostat
  • Cut with microtome
  • Frozen, cut, stained, viewed
  • Specimen is then thawed and processed as normal
  • Tech SETS UP
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11
Q

Stains: Hematoxylin-Eosin (H&E)

A

Hematoxylin - Blue

Eosin - Red/orange/pink (differential stain)

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12
Q

Stains: Progressive

A

Specimen left in dye until it’s ready

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13
Q

Stains: Regressive

A

Specimen is over stained and excess stain is removed

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14
Q

Bluing

A
  • Must be mildly alkaline
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15
Q

What’s the most important step of Bluing?

A

Differentiation

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16
Q

What is Cytology?

A
  • Less traumatic sampling
  • Relies on good samples
  • Can be fresh or fixed
  • Liquid based or cell block
17
Q

Stains: Pap

A

Fixative = Alcohol
Hematoxylin = Aqueous
Counterstain = Alcohol
Clearing = Xylene

18
Q

Stains: DiffQuick

A

Rapid Romanowsky (stain)
- Eosin-methylene blue
- 10 dips in methanol to fix
- 5 dips in eosin
- 10 dips in methylene blue/azure
- Water rinse

19
Q

Stains: Retic Stain

A

Supravital stain = saline + methylene blue/brilliant cresyl blue + 15 mins

20
Q

Too thick blood smear?

A

Too big of blood drop

21
Q

If your Hematoxylin has a sheen, it needs what?

A

To be filtered

22
Q

If your Wright’s stain is too blue, it’s what?

A

Buffer is too acidic