Stains Flashcards
Review of stains for histopathology and IHC markers
Haematoxylin and eosin
Haematoxylin: reacts like a basic dye with a purplish blue colour. Stains acidic or basophilics structures - cell nucleus (contains DNA and nucleoprotein), organelles that contain RNA (ribosomes and the rough endoplasmic reticulum)
Masson’s Trichrome
Blue: mature collagen
Red: Immature collagen, keratin, muscle, nerves.
van Gieson’s
Red: mature collagen
Yellow: Immature collagen
Verhoeff’s elastin stain
Black: elastin and nuclei
Orcein elastin stain
Black/purple: elastic tissue
Gomori aldehyde fuchsin
Purple: elastin, sulphated acid mucopolysaccharides, some epithelial mucins
Giemsa
Romanovsky-type stain (Wrights is as well) with mixtures of methylene blue, azure, and eosin compounds
Purple: Mast cell granules, cartilage, mucin, amyloid.
Oil red O
Dark red: lipids
Sudan black B
Green black: lipids
Scarlet red
Red: lipids
Hale colloidal iron
Blue: acid mucopolysaccharides
Alcian blue
Blue: acid mucopolysaccharides, mucin
Toluidine blue
Purple: acid mucopolysaccharides, mast cell granules purple
Mucicarmine
Red: epithelial mucins, acid mucopolysaccharides including Cryptococcus cell wall
Periodic acid-Schiff (PAS)
Red: fungi, glycogen, neutral mucopolysaccharides, tissue debris
Gomori/Grocott Methenamine Silver (GMS)
Black: fungi
Gram or Brown-Brenn
Blue: gram +ve
Red: gram -ve
Ziehl-Neelsen
Red: acid-fast bacteria - carbol-fuchsin stains the lipid walls
Fite’s modified acid-fast
Red: acid-fast bacteria (weaker acid than ZN for more delicate Mycobacteria)
Steiner
Black: Spirochetes
PAS, GMS or Gridley
Blastomyces
PAS, GMS, Pap or Wright’s
Coccidioides (spherules latter two plus PAS)
India ink stain, Diffquik, Gram, new methylene blue (cytol)
Cryptococcus
Giemsa
Leishmania; negative for GMS (differentiate from Histoplasma)
Fontana-Masson
Black: melanin (same for chromomycoses)
Schmorl’s method
Blue-green: melanin
DOPA-oxidase
Brown-black: melanin
Melanin bleach
Removes melanin
Von Kossa
Blue: mineral
Alizarin Red
Red: calcium
PAS
Positive: mineralised material