Lecture 2: Tissue Preparation Flashcards

1
Q

What is histology?

A
  • The study of the microscopic structure of biological matter.
  • An extension of anatomy “microscopic anatomy”
  • Histopathology is the study of pathological cells and tissues.
  • Histology is essential for understanding pathology and disease diagnosis.
    -Diagnostic histopathology is a relatively slow process and does not normally produce instantly.
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2
Q

What does a histopathology report produce?

A
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3
Q

What is the process of tissue preparation in histology?

A
  1. Fixation
  2. Dissection
    3 Processing
  3. Embedding (Blocking out)
  4. Microtomy
  5. Staining
    Then to microscopy
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4
Q

What is fixation in tissue preparation?

A
  • Involves terminating cell metabolism
  • Prevents enzymatic degradation of cells and tissues by autolysis.
  • Kills pathogenic micro-organisms, such as bacteria, fungi, viruses.

High quality preservation is key in most histopathology tests. As poorly fixed specimens can affect diagnosis or not yield enough information.

Can be achieved through either chemical or physical methods (heating and freezing).

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5
Q

What qualities would a perfect chemical fixative have?

A
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6
Q

What branches of fixatives are there?

A
  • Cross-linking: binds amino acids with proteins to adjust their three-dimensional structure, preventing autolysis and putrefaction)
  • Precipitating: removes water from cellular matrix, which disrupts the three-dimensional protein structure, thereby precipitating the protein (acetic acid coagulates nucleic acids)
  • Compound: A mixture of both cross-linking and precipitating.
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7
Q

What is formaldehyde?

A
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8
Q

What reactions are involved in formaldehyde fixation.

A
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9
Q

What are the fixation properties of formaldehyde?

A
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10
Q

What is glutaraldehyde?

A
  • Glutaraldehyde reacts faster than formaldehyde.
  • Binds up to
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11
Q

How are alcohols used in fixation?

A
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12
Q

What factors affect the rate of fixation?

A
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13
Q

What are the two methods of physical fixation?

A

Heating and freezing.

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14
Q

What substances are used in freezing physical fixation?

A
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15
Q

SPECIMEN DISSECTION/GROSSING

A
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16
Q

What is the process of decalcification in tissue preservation?

A
17
Q

What common acid decalcifiers are there?

A

Nitric acid
Hydrochloric acid
Formic acid

18
Q

Evaluate nitric acid as an acid decalcifier.

A
19
Q

Evaluate formic acid as an acid decalcifier.

A
20
Q

Evaluate hydrochloric acid as an acid decalcifier.

A
21
Q

What are chelating agents?

A

They act as ‘calcium sponges’ that mop up free ionic calcium that is always present around the bone mineral.

22
Q

How is end-point of decalcification determined?

A
23
Q

What is the process of processing in tissue preservation?

A
24
Q

What is dehydration in processing?

A
25
Q

What is clearing in processing?

A
26
Q

What is impregnation in processing?

A
27
Q

What is embedding/blocking out in tissue preservation?

A
28
Q

What is microtomy (sectioning) in tissue preservation?

A