Pre-analytical Factors Flashcards
initial anoxic insult when blood supply is cut off
warm ischemia
lack of oxygen once tissue sample is removed from the body
cold ischemia
duration of fixation
6- 48 hrs
size of tissue for fixation
3 mm
describing specimen:
- weight
- dimension
- color
- consistency
cutting specimens into 1.0 cm sections
breadloafing
tumor description
site and size
location and structures involved
vascular invasion
distance from resection margins
presence of lymph nodes
size of tissue cassette
3.0 x 2.5 x 0.4 cm
specimen size must not be more than
0.3 cm
most critical/important step in tissue processing
fixation
decay of tissues by cellular enzymes
autolysis
decay of tissue by bacterial attack
putrefaction
type of fixative that chemically alter tissues by bonding with it
additive
type of fixative that does not chemically combine with the tissues
non additive issues
type of fixative that allow solution to readily penetrate tissue interior
coagulant
create gel that block tissue penetration
non coagulant
2 types of fixatives according to composition
simple fixative
compound fixative
2 types of fixatives according to action
microanatomical
cytological
8 microanatomical fixatives
10% formol saline
10% NBF
Heidenhain’s susa
Formol sublimate
Zenker
Zenker formol
Bouin
Brasil
3 types of cytological fixatives
nulcear fixative
cytoplasmic fixative
histochemical fixatives
5 types of nuclear fixatives
Bouin
Flemming
Newcomer
Carnoy
Heidenhain susa
5 types of cytoplasmic fixatives
helly
orth
regaud
flemming without acetic acid
formalin with post chroming