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FACTORS TO BE CONSIDERED IN CHOOSING A (putrefaction(overgrowth of microorgamism) and
METHOD autolysis(cell destruction)
1. Structural and chemical components to be 2. PRESERVED TISSUE EXAMINATION- use of
studied fixative)
2. Nature and amount of sample to be evaluated Initial Steps in Tissue Processing
3. The need to provide an immediate diagnosis A. Specimen Accessioning/Identification(receiving
specimen)
➢ Performed by the medical technologist
METHODS OF PREPARATION AND EXAMINATION ➢ Check label and request form A. Diagnostic Laboratories ➢ The specimen is given a label (numeric or alpha 1. FRESH TISSUE EXAMINATION -numeric) which allows easy accessioning/identification ➢ No fixative required ➢ Request form should have a provisional ➢ Examined using a Brightfield or Phase-Contrast diagnosis and brief clinical details microscope
➢ Stained with supravital or differential dyes
B. Gross Examination and Sampling Suppravital dyes:- living cells ➢ Performed by the pathologist Brilliant cresyl blue ➢ Describing the sample macroscopically New methylene blue ➢ Weight and dimensions of the sample are Differential dyes: 2 structure of cells (nucleus or determined cytoplasm) C. Tissue Processing Eosin- cytoplasm ➢ Fixation Methylene blue- nucleus ➢ Dehydration Crystal violet- nucleus ➢ Clearing Carbol cros- cytoplasm ➢ Infiltration- impregnation
➢ Embedding- blocking, cascade
ADVANTAGES ➢ Sectioning (+ Floating, Fishing-out, Drying)- ✓ Observation of physiologic processes or microtomy protoplasmic activities (motion, mitosis, phagocytosis(cell engulfment) and ➢ Staining pinocytosis( cell drinking or up taking of cell by water) ➢ Mounting
✓ Relatively simple and easy to perform ➢ Labelling
DISADVANTAGES
✓ Limited use (it will deteriorate)
✓ Liable to develop changes observed after death
B. Research Laboratories lung cancer
1. MICROINCINERATION-heat SREAKING- accomplished using applicator stick or
platinum loop direct or zigzag steak. ✓ Used to locate the presence and position of mineral elements in the tissue SPREADING- utilizes directed portion of material, thick portion is transfered and the mucus stands ✓ Two duplicate sections of alcohol-fixed tissues apart with an applicator stick 2. AUTORADIOGRAPHY PULL APART- a drop of sample is placed on one slide and disperses upon the placement on the ✓ Injection of radioactive isotopes into organs-- other side. Two slides pull apart in opposite isotope labelling directions uninterrupted may be fresh or vital Fix→Section→Mount + Photographic Emulsion stains ex. Vaginal smears (Ag Halide)→Stain TOUCH PREPARATION ✓ Determines the relationship and location of the isotopes and cells to be studied Fe De Ca? Important Event ng BTS Sa MOA Lang ✓ Provides qualitative and quantitative informatio Fe- fixation- (preservation of tissue)
De- Dehydration(removal of water from tissue)
Decalcification (optional step only for bone specimen
Ca- clearing- make the tissue transparent
Important- Impregnation- infiltration-(fill up holes
of tissue)(optional step, if frozen tissue no need to infiltrate)
Event- embedding
B- blocking
T- trimming
S- sectioning- produce tissue ribbons
Sa- staining
TEASING OR DISSOCIATION - dissection of MOA- mounting- putting coverslip
specimen of a needle. Dissect it in to thinnest.permits the cell to be examine in a living L- labelling state. MB
SQUASH OR CRASHING
- done in less than 1mm small tissue. Put in a
stationary slide and cover with another slide crash or squeeze.MB
SMEARING- can be made permanent by fixing the
sample . Required thick secretion such as serous fluid, concentration sputum and enzymatic lavadge. For cancer diagnosis. Example cervical cancer ,