HISTOPATHOLOGY Flashcards
Branch of general cytology which deals with the microscopic study of cells desquamated
(Study of cell shed) from epithelial surfaces
EXFOLIATIVE CYTOLOGY
3 purpose of exfoliative cytology
Detect cancerous / malignant conditions
Detect asymptomatic cancer in women
or pre-cancerous cervical lesions
Determination of genetic sex
2 types of specimen for cytology
Gynecological
NON-gynecological
which is for fluid specimen?
NON-gynecological
3 preparations for non-gynecological specimen
Smears (2slides)
Cell block
Cytospin (Centri @ 1000rpm for 1min)
The best method to collect cells from body fluids
cell block
5 specimens for NON-GYNECOLOGIC
RESPIRATORY TRACT SPECIMEN (BAL, SPUTUM, GASTRIC SECRETIONS)
BREAST SECRETION
PERITONEAL-PERICARDIAL-PLUERAL FLUIDS
URINARY TRACT SEDIMENT
BODY CAVITIY EFFUSION (CSF, ASCITIC FLUID)
4 METHOD IN SMEAR
1.Streaking
2. Spreading
3. Pull Apart
4. Touch preparation
recommended for thick fluid
Pull Apart
Also called: Impression Smear
TOUCH PREPARATION
This may be submitted to cytology to detect or rule out Pneumocystis Jirovecii particularly among AIDS patients
BRONCHOALVEOLAR LAVAGE (BAL)
MOST COMMON RESPIRATORY TRACT SPECIMEN
SPUTUM
Sputum must be collected from a _____ and collect at least ______
DEEP COUGH
3 CONSECUTIVE MORNINGS
Sample must be evaluate if it’s a real sputum , we can do it microscopically. Cell that would indicate satisfactory collection: We look for ______
Alveolar macrophages
TRUE OR FALSE
- We do fixation ASAP, because the cell will decompose immediately
TRUE
FIXATIVE FOR SPUTUM
SACCOMANO FLUID
FIXATIVE FOR BRONCHIAL BRUSHING
Spray fixative or 95% Ethanol
GASTRIC SECRETIONS / ASPIRATES (Gastric Lavage)
-Required prior to collection: patient must do fasting at least ____
8 HOURS
GASTRIC SECRETION Immediate transport to the lab is required no delay beyond ____
30 MINS
This is submitted for testing to rule out possible breast cancer, but compared to mammography and ultrasound it has less chance to detect the breast cancer
BREAST SECRETION (Nipple discharges)
TRUE OR FALSE
discharge during and post lactation may be abnormal
FALSE (NORMAL)
TRUE OR FALSE
discharge from breast nipple is usually malignant & may be due to lesion like duct ectasia & papilloma
FALSE ( benign)
SMEAR PREP FOR BREAST SECRETION
PULL APART
FIXATIVE FOR BREAST SECRETION
spray fix or 95% IP
When collecting this sample usually clotted
PERITONEAL-PLEURAL-PERICARDIAL FLUIDS (Body cavity fluid)
To prevent jelly clots: we add ____ per _____
300 units of HEPARIN
100ml of aspirates
URINARY TRACT SPECIMENS Sample is submitted to detect what?
UROTHELIAL MALIGNANCY
3 URINE SPECIMEN
Voided urine, catheterized urine,
washing from bladder or renal pelvis
____ urine must be DISCARDED due to
overnight degeneration of cells. ____ is preferred
FIRST VOIDED URINE
SECOND COLLECTION
IF THERE IS A DELAY IN URINE EXAMINATION WE DO ______
REFRIGERATION
TRUE OR FALSE
preservatives should not be added in urine specimens.
TRUE
For best result ____ URINE specimen must be collected
50mL
BODY CAVITY EFFUSIONS Specimen MUST BE SUBMITTED _____. amount of CSF ATLEAST _____
FRESH
1mL
in CELL BLOCK we will not embed the tissue but the _______
sediments
3 METHODS OF CELL BLOCK PREPARATION
DIRECT FILTRATION
PLASMA-THROMBIN
CARBOWAX
Centrifugation fluid, add 1 ml of plasma and add thrombin. This will form gel like substance, place it in a filter paper and
add 10% formalin
(Used filter paper do reduce washing out of the cell)
Advantage – reduce washing out, but expensive
PLASMA-THROMBIN
Centrifugation fluid, add 10% formalin to sediment.
Disadvantage – easily washed out
DIRECT FILTRATION
Following centrifugation of fluid, add carbowax to sediment and place in a paraffin block
Advantage – no dehydration step but expensive
CARBOWAX
ROUTINE METHOD OF CELL BLOCK PREPARATION
DIRECT FILTRATION
TRUE OR FALSE
1st- Smears should be prepared from old material and must be prepared and FIX while dry.
2nd- We must prevent drying of specimens
1st- FALSE (spx. should be prep fresh, and prep while moist.
2nd- TRUE
TRUE OF FALSE
There is specimen that contains Increase Proteins, if specimen contains increase proteins NO need to use Adhesives
TRUE
4 specimens requiring adhesives
Urinary sediments
Bronchial lavage
Concentrated Sputum
Specimens with trypsin
after smear we do fixation, In cytology fixation must be ___mins only
10-15mins
4 ADHESIVES FOR CYTOLOGY
1.Pooled serum or plasma
2.Celloidin ether alcohol
3.Leuconostoc culture (leuconostoc is a bacteria: Gram positive cocci)
4.APES – 3 aminopropyltriethoxysilane
Most common tissue adhesive
MAYER’S EGG ALBUMIN
We DO NOT used mayers egg albumin in cytology because this can be stained intensely by?
counter stain used in paps
THE BEST FIXATIVE FOR CYTOLOGY
95% Ethanol with Ether(but ether is hazardous because it is flammable)
COMMONLY USED FIXATIVE FOR CYTOLOGY
95% Ethanol
TISSUE FIXATIVE
10% buffered neutral formalin
CAN ALSO BE USED FIXATIVE FOR CYTOLOGY (2 ANSWERS)
1.SPRAY FIXATIVE
2.SACCOMANO PRESERVATIVE
May be used but slide must be kept at a distance of 1 foot (12 inches or 30. 5 cm) from the spray
SPRAY FIXATIVE
This is a combination of 50% alcohol and 20% carbowax
SACCOMANO PRESERVATIVE
4 OTHER EXAMPLE OF FIXATIVE IN CYTOLOGY
50% alcohol is for all types of effusion
50% Peritoneal and Pleural fluids
70% Sputum specimen
95% Urine, Gastric and bronchial aspirates