Infiltration Flashcards
What is impregnation/infiltration in tissue processing?
The process of permeating tissue with a support medium, completely removing clearing medium and replacing it with a medium that fills all tissue cavities.
What are the main types of tissue impregnation/embedding?
Paraffin Wax, Celloidin (Collodion), Gelatin, and Plastic
What are the 3 ways of paraffin impregnation and embedding?
1) Manual Processing (hand processing)
2) Automatic Processing (e.g., Autotechnicon)
3) Vacuum Embedding
What are the time requirements for manual paraffin processing?
At least 4 changes of wax at 15-minute intervals; specimen immersed in fresh melted paraffin for approximately 3 hours; recommended tissue thickness: 3mm.
What equipment is used for automatic processing?
Autotechnicon Elliott Bench
What are the main steps in automatic processing?
Fixation, Dehydration, Clearing (12 processing steps above the melting point)
What is the wax bath temperature in automatic processing?
3°C
What is the critical step in automatic processing?
Dehydration
What is the advantage of automatic processing?
“Constant agitation”
What is vacuum embedding?
Wax impregnation under negative atmospheric pressure inside an embedding oven
For which types of specimens is vacuum embedding recommended?
Urgent biopsies; delicate tissues (lung, connective tissues, decalcified bones, eyes, spleen, CNS)
What are the advantages of vacuum embedding?
Fastest results; removes air bubbles and clearing agent
What temperature should be maintained during vacuum embedding?
2°C to 4°C above wax melting point
What are the common melting points of paraffin wax?
45°C, 52°C, 56°C and 58°C
Which melting point of paraffin wax is routinely used?
56°C
What are the melting point ranges for paraffin at different room temperatures?
54°C-58°C at 20°C-24°C (Room temp)
50°C-54°C at 15°C-18°C
What are the advantages of paraffin wax methods?
Simplest; most common; best embedding medium; ease in cutting; permanent paraffin blocks; good staining results
What are the limitations of paraffin wax methods?
Not recommended for fatty tissue; overheated paraffin → BRITTLE SPECIMEN; inadequate impregnation → CLEARING AGENT RETENTION; prolonged impregnation → TISSUE SHRINKAGE
What is Paraplast?
A mixture of highly purified paraffin and synthetic plastic with MP: 56-57°C
What are the properties of Paraplast?
More elastic and resilient than paraffin wax; for large tissue blocks (e.g., bones and brain); blocks more uniform → better ribboning; prevents ice crystal artifacts; no slide deposits after staining; soluble in most clearing agents
What is Embeddol?
Synthetic wax similar to Paraplast but less brittle and less compressible; MP: 56-58°C
What variants of embedding waxes are mentioned in relation to Embeddol?
Bioloid (semisynthetic wax) and Tissue Mat (paraffin containing rubber, recommended for embedding EYES)
What are the properties of Ester Wax?
MP: 46-48°C
harder than paraffin; insoluble in water; soluble in 95% ethyl alcohol; requires Cellosolve or xylene; procedure: 3-4 wax changes; requires heavy-duty microtome
What are water soluble waxes and their properties?
Mostly polyethylene glycols; MPs: 38°C, 48°C, 45°C, 56°C; Carbowax most commonly used