SAS 3: Examination of Fresh tissue and Fixation Flashcards

(80 cards)

1
Q

It is the microscopic study of the normal tissue of the body

A

Histology

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2
Q

It is the microscopic study of tissue affected by disease

A

Histopathology

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3
Q

The simples, least invasive test and uses the smallest needle to simply remove cells from the area of abnormality

A

Fine needle aspiration

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4
Q

This is not always adequate to obtain a diagnosis, depending on the area being biopsied

A

Fine needle aspiration

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5
Q

remove not only cells, but also a small portion of the surrounding tissue

A

Core needle biopsy

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6
Q

This provide additional information to assist in the examination of the lesion

A

Core needle biopsy

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7
Q

takes out even more surrounding tissues. it takes some out of the abnormality, but not all

A

Incisional biopsy

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8
Q

The doctor will slice into the lesion and remove only a portion of it. if the lesion is found cancerous, further surgery may be needed to remove the lesion

A

Incisional biopsy

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9
Q

generally removes the entire area in question

A

Excisional biopsy

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10
Q

Considered the primary technique for obtaining diagnostic full-thickness skin specimen

A

Punch biopsy

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11
Q

it requires basic general surgical and suture tying skills and is easy to learn

A

punch biospy

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12
Q

the technique involves the use of a circular blade that is roated down through the epidermis and dermis, and into the subcutaneous fat, yielding a 3-4 mm cylindrical core of the tissue sample

A

Punch biopsy

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13
Q

where small fragments of tissue are shaved from a surface (usually a skin)

A

Shave biopsy

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14
Q

where tissue is scooped and spooned to remove tissue or growth from body cavity such as endometrium or cervical canal

A

Curettings

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15
Q

Fresh tissues have the advantage of being examined in the living state, thereby allowing protoplasmic activities such as

A

Motion
Mitosis
Phagocytosis

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16
Q

is a process whereby a selected tissue specimen is immersed in isotonic salt solution such as normal saline solution or Ringer’s solution in a petri dish or watch glass, carefully dissected with a needle and separated by direct or zigzag spread using an applicator stick

A

Teasing or dissociation

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17
Q

is a process whereby small pieces if tissue (not more than 1 mm in diameter) are placed in a microscopic slide and forcibly compressed with another slide or with a cover glass

A

Squash preparation (crushing)

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18
Q

this method differs depending on the nature of the material to be examined

A

Smear preparation

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19
Q

may be examined as either as fresh prep similar to that described for teased preparation, or by using a supravital staining technique

A

Smear

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20
Q

with an applicator stick or platinum loop, the material is rapidly and gently applied in a direct or zigzag line throughout the slide, attempting to obtain a relatively uniform distribution of secretion.

A

Streaking

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21
Q

A selected portion of the material is transferred into a clean slide and gently spread into moderately thick film by teasing the mucous strands with applicator stick

A

Spreading

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22
Q

This is done by placing a drop of secretion or sediment upon one slide and facing it unto another clean slide.

A

Pull-apart

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23
Q

this is a special method of smear preparation whereby the surface of a freshly cut piece of tissue is brought into contact and pressed on the surface of a clean glass slide, allowing the cells to be transferred directly to the slide for examination phase-contrast microscopy or staining for light microscopic study

A

Touch preparation (Impression smear)

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24
Q

Immediate diagnosis is accomplished

A

Frozen section

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25
it is necessary to get a rapid diagnosis of pathologic process
Frozen section
26
A fresh tissue is frozen on a microtome with CO2, or on a cryostat, The cold chamber is kept at an atmospheric temperature of
-10C to -20C
27
frozen section, both fixed and unfixed, have many applications in histotechnology, and are commly used for:
- undehydrated tissues for rapid diagnosis - histological demonstration of fats - For certain neurological structures - for sensitive tissue constituent damage by heat - diagnostic and research enzyme histochemistry - immunohistochemical and immunofluorescent staining
28
commonly used method of freezing include:
- liquid nitrogen - Isopentane cooled by liquid nitrogen - Carbon dioxide gas - Aerosol sprays
29
generally used in histochemistry and during intra-operative procedures, and is the most rapid of the commonly available freezing agents
Liquid nitrogen
30
its main disadvantage is that soft tissue is liable to crack due to rapid expansion of ice within the tissue, producing ice crystals or freeze artifacts
Liquid nitrogen
31
Is a refrigerated apparatus used for fresh tissue microtomy
Cryostat or Cold microtome
32
It has a rotary microtome kept inside a cold chamber
Cryostat or Cold microtome
33
the cold chamber of Cold microtome must maintain the temperature of
between -10 to -30 (average -20C)
34
Also used for intraoperative diagnosis
Cryostat or Cold microtome
35
It is the first and most critical step in the histopathology
Fixation
36
What is the primary aim of Fixation
To preserve the morphology and chemical integrity of the cell
37
Fixation must preserve:
- shape - structure - Intercellular relationship - Chemical constituent
38
Fixation must prevent:
- Degeneration - Decomposition - Putrefaction - Distortion of tissues
39
What are the Objectives of fixation
- To preserve the tissue - To prevent breakdown of cellular elements - To coagulate or precipitate protoplasmic substances
40
two mechanisms in fixation:
- Additive fixation - Non-additive fixation
41
Chemical constituent are taken in and becomes part of the tissue
Additive fixation
42
Fixing agent is not incorporated into the tissue
Non-Additive fixation
43
The Main factors involved in fixation
- Hydrogen ion concentration - Temperature - Thickness of section - Osmolality - Concentration - Duration of fixation
44
Fixation is best carried at what pH
pH: 6-8
45
Surgical specimens must be at what temperature
Room temperature (20-25C)
46
Tissue processor must be maintain at what temperature
40C
47
Electron microscopy is at what temperature
0-4C
48
Formalin at 60C is used for _____
urgent biopsy specimens
49
Formalin at 100C is used to ____
fix tissues with tuberculosis
50
Thickness of section in Electron microscopy
1-2mm^2
51
Thickness of section in light microscopy
2cm^2
52
Thickness of section in light microscopy (thin section)
0.4 cm
53
brain tissue is fixed using ____ for ____ weeks for easier cutting of section
- 10% formalin - 2-3 weeks
54
Most common fixing agent used
10% formaldehyde
55
fixing agent Used in electron microscopy
3% glutaraldehyde
56
fixing agent used in immunielectron microscopy
0.26% glutaraldehyde
57
recommended time for primary fixation in buffered formalin from the time the specimen is obtained
2-6 hours
58
Recommended time of Electron microscopy for duration of fixation
3 hours
59
Traditional volume of the tissue
10-25x the volume of the tissue
60
The volume of maximum effectiveness
20x the tissue volume
61
Fixation can be improved by the ff:
- Heat - Vacuum - Agitation - Microwave
62
Characteristics of a good fixative
- must be cheap - must be stable - must be safe to handle - must kill the cell quickly - must inhibit bacterial decomposition and autolysis - must produce minimum shrinkage of tissue - must permit rapid and even penetration of tissue - must harden tissues - must isotonic - must make cellular components insoluble to hypotonic solutions - permit application of many staining procedure
63
In teasing or dissociation, the specimen is either stained with _____ or examined unstained by _______
supravital phase-contrast microscopy
64
In squash preparation (crushing), a supravital stain if necessary, may be placed at the junction of the slide and the cover glass, and allowed to be absorbed by the tissue through _____
capillary attraction
65
A fresh tissue is frozen on a ______ with ____
microtome with CO2
66
_______ is liquid at room temperature
Isopentane
67
The use of this has become increasingly popular in recent years, and is adequate for freezing small pieces of tissue except muscle.
Aerosol sprays
68
Quick-freezing spray cans of _____ have a distinct advantage of rapidly freezing blocks of any type of tissue
Fluorinated hydrocarbons (Cryokwik)
69
Majority of the sections in cryostat can be cut in _____, where the temperature for sectioning can be accurately established and controlled.
Isothermic situations
70
Leaving the tissue specimen in ____ will cause to dry out and result to distortion
Air
71
Leaving the tissue in water (hypotonic solution) will cause the cell to _____
swell
72
Strong salt (_____) will cause the cell to ____.
Hypertonic solution shrink
73
High temperature --> _____ distortion
Higher
74
Hypertonic solution may lead to _____
shrinkage
75
_______ may lead to swelling and subsequent poor fixation
Hypotonic and Isotonic solution
76
Osmolality normal value:
400-450 mOsm
77
Osmolality of Isotonic solutions
340 mOsm
78
Recommended/Best Osmolality of the Specimens
Slightly Hypertonic solutions
79
Most common fixative:
10% neutral buffer formalin
80
Average penetration:
1 mm/hour