Pre-analytical Procedures Flashcards
Autolysis
Self destruction of cells caused by enzymes
Affected by temperature
Putrefaction
Destruction of tissues by micro-organisms (bacteria or fungi) - normal flora
Affected by temperature
Large intestine is prone to this rapidly
Fixation
First treatment
Prevents autolysis and putrefaction
Ratio of fixative and tissue should he 10:1
Procedures in order
Fixation, gross examination, tissue processing. section cutting, staining
Tissue processing
Treatments using a sequence of reagents
At the completion, all water in the tissues will have been replaced by molten paraffin wax
Embedding
The tissue samples are places in moulds to form wax blocks containing the tissues
Section cutting
4-6 micron layer section is required
(1 micron equals one thousandth of a millimeter)
Staining
Hematoxylin and Eosin (H+E) is most common stain
Automated
Hematoxylin
Dye that stains nuclei blue-grey
Eosin
Due that stains many other tissues components in shades of pink-orange
Preservation
Temporary and reversible
Doesn’t cause any permanent changes to the tissues
Postpones autolysis and putrefaction