HISTOPATHOLOGY FINALS Flashcards
Deals with microscopic study of cells desquamated from epithelial cells
Exfoliative cytology
Purpose of exfoliative cytology
Detect cancerous /malignant conditions
Detect asymptomatic cancer in women or pre-cancerous cervical lesions
Determination of genetic sex
Detection of possible infection
Evaluate female hormonal status in case of sterility
Specimens for Examination: Non-gynecological
Sputum
Smears of urine sediments
Prostatic and breast secretions
Pleural and peritoneal fluids
Gastric and bronchial secretions
CSF
Specimens for Examination: Gynecological
Endometrial and Endocervical smears
Cervico vaginal smear a.k.a PAP Smear
Smear to detect HPV, Trichomoniasis, Yeast infection
PAP smear (Cervicovaginal smear)
Preparation for NON-GYNECOLOGIC SPECIMENS
Smears
Cell blocks
Cytospin preparation
Motion for streaking smear
Zigzag
Smear applied at the center and use loop to spread
Spreading
Smear technique for thick secretion
Pull apart technique
Smear technique for fixation
Touch preparation/ Impression smear
Best method to collect cells from body fluids
Cell blocks
Cytospin preparation rpm and minutes
1000 rpm for 1 minute
Specimen to rule out pneumocystis jirovecci
BAL (Bronchoalveolar lavage)
Respiratory tract specimens
Bronchial washings
Bronchial brushings
Sputum
Brochoalveolar lavage
Manner of collection for sputum
Collected from a deep cough
At least 3 mornings (3 days)
Cells that indicate that the specimen is sputum
Alveolar macrophage
Fixative for sputum
Saccomano fluid
Fixative for bronchial brushing
spray fixative or 95% ethanol
Gastric secretions/aspirates should not be delayed beyond ____ minutes to prevent degradation
30 minutes
Requirement for gastric secretion/aspirate collection
Fasting for at least 8 hours
Smear preparation for breast secretion
pull apart technique
Discharge from nipple is usually benign and may be due to lesion like
duct ecstasia
papilloma
Peritoneal-Pleural-Pericardial fluid presence is always —
pathologic
Jelly clots in peritoneal-pleural-pericardial fluid is prevented by adding —-
300 units of heparin per 100mL of aspirate
Breast secretion fixative:
spray fix or 95% Isopropyl alcohol
Used to detect urothelial malignancies
Urinary tract sediments
Urinary tract specimens
Voided urine
Catheterized urine
Washing from bladder or renal pelvis
Preferred urine collection for urinary tract specimen
secondary collection
Urine specimen should be ____ if there is delay in examination
refrigerated
Urine specimen volume for best results
50 mL
Body cavity effusions- CSF and ascitic fluid should be submitted _____
fresh
Amount of CSF should be —-
at least 1 mL
Extra sediments are used for —–
cell block technique
Methods of Cell block preparation
Direct filtration
Plasma thrombin method
Carbowax method
Method of Cell block preparation:
Centri fluid, add 10% formalin to sediment, embed using paraffin
Direct filtration
Method of Cell block preparation:
(not usually carried out, expensive) - Centri fluid, add 1 ml of plasma and add thrombin
Plasma thrombin method
Disadvantage of direct filtration
easily washed out
Advantage of plasma thrombin method
reduce washing out
Advantage of carbowax method
no dehydration step but is expensive
Smears should be prepared from fresh material and must be prepared and FIX while moist within
10 - 15 minutes
Specimens that require adhesives
Concentrated Sputum
Urinary sediments
Bronchial labage
Specimens with trypsin
Adhesives for cytology
Celloidin ether alcohol
Leuconostoc culture - bacteria, gram positive cocci
APES – 3 aminopropyltriethoxysilane
Pooled serum or plasma