Histopathologic Techniques
Histopathologic Techniques
B-5 Fixative
- Distilled water + Mercuric Chloride + Sodium acetate
- commonly used for bone marrow biopsies
CHROMATE FIXATIVES preserves carbohydrates.
Chromic Acid - Strong oxidizing agent, strong reducing agent must be
- used in 1-2% aqueous solution added.
- precipitates all proteins and adequately
Potassium Dichromate GLACIAL ACETIC ACID
- used in 3% aqueous solution - Precipitates chromosomes and chromatin materials
- preserves lipids - Essential constituent of most common
- preserves mitochondria compound nuclear fixatives
Commonly used:
- Alcohol (most common)
- Acetone
- Dioxane 4 – cellosolve
- Triethyl phosphate
- Tetrahydrofuran
ALCOHOL 37C temp – hastens dehydration Anhydrous
- Routine dehydration of tissues copper sulphate
- Mixes with water and other organic solvents – accelerates dehydration
- blue discoloration will indicate full saturation
Methyl Alcohol –blood and tissue films; smear preparation
Butyl Alcohol – plant and animal micro-techniques ACETONE
- Urgent biopsies
- More miscible with epoxy and other resins & CHAPTER 6
highly flammable CLEARING – de-alcoholization
- Small pieces of tissues due to extreme volatility - Alcohol or dehydrating agent is removed from the tissue
and inflammability and replaced with a substance that will dissolve the wax
with which the tissue is to be impregnated.
DIOXANE
- Less tissue shrinkage as compared to alcohol dehydration CHARACTERISTICS OF A GOOD CLEARING AGENT
- Its vapour produces a cumulative and highly toxic 1. Should be miscible with alcohol.
action in man 2. Should be miscible with, and easily removed by
melted paraffin wax
I. Gaupner’s Method 3. Should not produce excessive shrinkage
1st Pure dioxane solution 1 hr 4. Should not dissolve out aniline dyes
2nd Pure dioxane solution 1 hr 5. It should not evaporate quickly in a water bath.
3rd Pure dioxane solution 2 6. Should make tissues transparent.
hrs 1st Paraffin wax 15 minutes
2nd Paraffin wax 45 minutes 1. Xylene ( most common)
3rd Paraffin wax 2 hrs 2. Toluene
3. Benzene
II. Weiseberger’s Method 4. Chloroform
- the tissue is wrapped in a gauze bag and suspended in 5. Cedarwood Oil
a bottle containing dioxane and a little anhydrous 6. Aniline Oil
calcium oxide. 7. Clove Oil
8. Carbon tetrachloride
CELLOSOLVE
- can be stored in for months without distortion. XYLENE (XYLOL)
- Routine histologic processing
TRIETHYL PHOSPHATE - Urgent biopsies which it clears within 15-30 minutes
- removes water very readily and produces very - Becomes milky when an incompletely dehydrated tissue
light distortion and hardening of tissues is immersed in it.
TETRAHYDROFURAN TOLUENE
- dehydrates and clears tissue - Substitute for xylene or benzene
- THF is toxic if ingested or inhaled. Vapors cause - Miscible with both absolute alcohol and paraffin
nausea, dizziness, headache and anesthesia. - Much more expensive than xylene
- May cause conjunctival irritation
BENZENE
Phenol 4% + 95% Ethanol – acts as softener for hard - Urgent biopsies and routing purposes
tissues such as tendons , nails or dense fibrous tissue. - Excessive exposure to benzene may be extremely toxic
to man and may become carcinogenic or it may damage
the bone marrow resulting in aplastic anemia.
CHLOROFORM
- Slower action than xylene
- Recommended for tough tissues, for nervous tissues,
lymph nodes and embryos because it causes
minimum shrinkage and hardening of tissues
CEDARWOOD OIL
- Used to clear both paraffin and celloidin sections
- Recommended for CNS tissues and cytological
studies, particularly smooth muscles and skin.
- Becomes milky upon prolonged storage and should not
be filtered before use.
ANILINE OIL –clearing embryos, insects and very without excessive tissue shrinkage
delicate specimens due to its ability to clear 70% alcohol
CLOVE OIL – Tissues become brittle, aniline dyes re not BY AUTOMATIC PROCESSING
removed and celloidin is dissolved. - Use of automatic tissue processing machine which
fixes, dehydrates, clears and infiltrates tissues.
CARBON TETRACHLORIDE – Similar to chloroform - Only 2-3 changes of wax are required to remove
except it’s a lot cheaper. the clearing agent
Agitation & Heat – hastens automatic process
METHYL BENZOATE AND METHYL SALICYLATE Ex: Elliott Bench-Type Processor
- used in double embedding techniques
BY VACUUM EMBEDDING
- Principle is the negative atmospheric pressure
CHAPTER 7 hastens the tissue processing
IMPREGNATION AND EMBEDDING - Removal of air bubbles and clearing agent from
IMPREGNATION - process whereby the clearing agent is the tissue block thereby promoting a more rapid
completely removed from the tissue wax penetration of tissue.
EMBEDDING – process by which impregnated tissue is - gives the fastest result
placed into a precisely arranged position in a mold
containing a medium which is then allowed to solidify SUBSTITUTES FOR PARAFFIN WAX
PARAPLAST
1. Paraffin wax - Mixture of highly purified paraffin and synthetic
2. Celloidin plastic polymers
3. Gelatin - Melting point of 56-57c
4. Plastic - More elastic and resilient than paraffin wax
55-60C – above the melting point of wax Embeddol – similar to paraplast; melting point 56-58C
56C – temp of wax normally used for routine work Bioloid – recommended for embedding eyes
Tissue Mat – Product of paraffin, containing rubber, with
1. By manual processing the same property as paraplast.
2. By automatic processing
3. By vacuum embedding ESTER WAX
- Melting point 46-48C
BY MANUAL PROCESSING - Harder than paraffin wax
- 4 changes of wax are required at 15 minutes interval - 3-4 changes of wax are required to ensure
in order to insure complete removal of the clearing complete tissue impregnation
agent.
WATER SOLUBLE WAXES
Example of time schedule for manual - Melting points 38-42C or 45-56C
processing: FIXATION: 10% Buffered Formalin Carbowax
24 hours
DEHYDRATION: 70% Alcohol 6H
95% Alcohol 12H CELLOIDIN IMPREGNATION
100% Alcohol 2H - purified form of nitrocellulose soluble in many solvents,
100% Alcohol 1H with large hollow cavities which tend to collapse, for hard
100% Alcohol 1H and dense tissues such as bones and teeth for large
CLEARING: Xylene or Toluene (2x) 1H tissue sections of the whole embryo
IMPREGNATION: Paraffin Wax (4x) 15minutes - supplied in thin 2%, medium 4%, or thick 8%
EMBEDDING: Paraffin Wax 3H
2 Types:
1. Parloidoin – hard, amber, platelet-chips
2. Low Viscosity Nitrocellulose – “nitrated variety”
- it can be used in higher concentrations and
still penetrate tissues rapidly.
- usually marketed while wet with alcohol.
2 Methods: brain sections and whole organs
1. Wet Celloidin Method Process:
- Recommended for bones, teeth, alrge Fixation placed in equal parts of ether and alcohol (12-
24hours) thin, medium celloidin (5-7 days) thick PLASTIC (RESIN) EMBEDDING
celloidin (3-5 days) stored in 70% alcohol - superior results for light microscopic studies
- high resolution light microscopy of tissue
2. Dry Celloidin Method - Epoxy, Polyester, Acrylic
- Recommended for processing the whole
eye sections EPOXY
- Same Principle except that of 70% Alcohol, it is - Benzoyl peroxide + epoxy (catalysts)
GILSON’S MIXTURE (equal parts of chloroform and - epoxy plastics, catalysts and accelerators
cedarwood oil) - Cyclohexene dioxide-based plastics (Spurtt) can
- Best stored in air-tight jar be obtained pure, have very low viscosity and
infiltrate fastest.
GELATIN IMPREGNATION
- Used as an embedding medium for delicate specimens Disadvantages:
and frozen tissue sections because it prevents 1. Hydrophobic
fragmentation of tough and friable tissues 2. Reduce antigenicity of embedded tissue and may
- Fixation 10% gelatin with 1% phenol (24H) compromise the result of immunohistochemical
transferred to 20% gelatin with 1 % phenol (12H) staining
20% gelatin with 1 % phenol cooled to refrigerator 3. Cause sensitization if absorbed bt skin or inhalation
transferred to 10% formalin (12-24H) 4. VCD is known to be carcinogenic
-Volume of impregnating medium should be at least 25
times the volume of the tissue POLYESTER PLASTICS
- Introduced for electron microscopy
ACRYLIC PLASTICS
- made up of acrylic acid or methacrylic acid
- used for light microscopy
Ex.
1. Polyglycol methacrylate (GMA)
EMBEDDING 2. Methyl methacrylate (MMA) – undecalcified bone
- After impregnation, the tissue is placed into a mold
containing the embedding medium and this medium
is allowed to solidify.