Introduction to Histology Flashcards
What is histology?
The study of cells and tissues by microscopy
What is histopathology?
The study of diseased tissue by microscopy
What is the ABCDE for determining whether a mole is normal or cancerous?
Asymmetry
Border
Colour
Diameter
Evolving
What is meant by asymmetry?
If you draw a line through the middle of the mole, the halves of a melanoma will not match in size
What is meant by border?
The edges of a melanoma tend to be uneven, crusty or notched
What is meant by colour?
Healthy moles are uniform in colour
A variety of colours, especially white and/or blue is bad
What is meant by diameter?
Melanomas are usually larger in diameter than a pencil eraser
What is meant by evolving?
When a mole changes in size, shape or colour or begins to bleed or scab, this is dangerous
What is the extent of the spread of a tumour called?
Staging
Determining how far a tumour has spread
What are the 4 stages in the clinical applications of histology?
- make a diagnosis
- determine prognosis
- plan and confirm treatment
- predict/confirm response to drugs
Why is histology important?
It allows ‘normal’ to be defined
This allows comparisons and abnormal characteristics to be identified
What is the first stage in histological preparation?
Tissue sampling
This involves taking a tissue sample by surgical excision
What is the second stage in histological preparation?
Why is it needed?
Fixation
The tissue is fixed by placing it in a chemical to preserve it
The tissue will begin to degrade if it doesn’t have a blood supply
In which 3 ways does fixation preserve tissues?
- stopping intrinsic autolytic enzyme action (autolysis) which involves the tissue breaking itself down
- prevention of bacterial contamination (putrefaction)
- increasing mechanical strength to preserve structure and morphology
How do fixatives work?
They link molecules together so that they no longer function
They also kill any bacterial contaminants
What types of bonds are formed by aldehyde and alcohol fixatives?
Aldehyde fixatives form protein covalent cross-links
Alcohol fixatives denature proteins and cause aggregation/fixation
What types of bond are formed by oxidising fixatives?
Protein covalent cross-links via oxidation
Why is freezing not often used as a method of fixation?
It is a quick solution but results in poor morphology
How does formalin (formaldehyde solution) work?
It forms protein covalent cross-links
Joining together complex molecules within the tissue means they no longer function and the tissue becomes rigid
What are the pros of using formalin?
- it has good penetration and mechanical strength
2. good tissue morphology preservation
What are the cons of using formalin?
- it is poor at preserving DNA and RNA
2. it needs to be quite warm in order to work
How does glutaraldehyde work?
It is similar to formalin but is a larger molecule so forms protein covalent cross-links
What are the pros of using glutaraldehyde?
- it works well at low temperatures
2. it is used for electron microscopy
What are the cons of using glutaraldehyde?
- it only works on smaller tissue samples