Module 2: pigment classification and types of artefact Flashcards

1
Q

artefact

A

introduced during processing/staining of tissue. Ie; mercury appearing when mercury containing fixatives are
used and mercury isn’t removed, or when stain isn’t filtered

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2
Q

endogenous hematogenous

A

Produced from heme

  • hemoglobin
  • hemosiderin
  • hemozoin
  • hematoidin and biliverdin
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3
Q

hemoglobin

A

stains well with eosin, seen in RBCs, haemorrhage sits, renal tubules (if a lot of hemolysis)

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4
Q

hemosiderin

A

haemoglobin breakdown product, combo of ferric iron and protein. Yellow-brown in tissues at
site of hemorhage, old myocardial infarctions, massive blood transfusions and cirrhosis

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5
Q

hemozoin (malarial pigment)

A

found in parasites and infected organs. Signet ring appearance. Demonstrated
by Giemsa stain

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6
Q

Hematoidin and biliverdin (bile pigments)

A

found at old infarct sites in heart, brain and spleen

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7
Q

Endogenous nonhematogenous

A

derived from within the body but not blood related

  • melanin
  • lipofuschins
  • argentaffin
  • chromaffin
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8
Q

Melanin

A

brown/black. Normally found in basal layer of epidermis, hair and iris. May increase in melanomas
and skin diseases

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9
Q

Lipofuschins

A

yellow/brown in H&E. “wear and tear” pigments found in aging cells of heart, liver and adrenal
glands. Stain with Oil Red O and are PAS pos

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10
Q

Argentaffin

A

found at base of intestinal glands, important in tumor and cancer diagnosis and prognosis

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11
Q

Chromaffin

A

granules found in adrenal glands as dark brown pigments used to ID tumors originating there.
Positive with Giemsa stain

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12
Q

Exogenous

A

introduced into body from outside source. Must be inhaled, ingested or absorbed

Carbon (anthracosis)
Silica (silicosis)
Asbestos (asbestosis)

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13
Q

Carbon (anthracosis)

A

black, insoluble in acid and appear in lungs

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14
Q

Silica (silicosis)

A

birefringent, appear in lung and skin of glassworkers or stone grinders

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15
Q

Asbestos (asbestosis)

A

affect lung and skin of people exposed to fibres which become coated with ferric iron (.:.
Prussian Blue pos)

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16
Q

Types of artefact pigments

A

Formalin
Mercury
Chrome

Stain precipitates form as a result of faulty staining and may be colored

17
Q

Formalin artefact

A

Will precipitate through tissues that contain large amounts of blood
PREVENT by buffering formalin
REMOVE with alcoholic picric acid or 2% ammonia in 80% alcohol

18
Q

Mercury artefact

A

Black/brown, appears amorphous
Cant be prevented
Remove using alcoholic iodine and then remove iodine with sodium thiosulphate

19
Q

Potassium dichromate artefact

A

Yellow precipitate formed if tissue transferred directly to dehydrating alcohols after fixation

Prevent by thoroughly washing tissue before dehydration
Difficult to remove