Preparation of Histological Specimens
Preparation of Histological Specimens
Preparation of Histological Specimens
HISTOLOGICAL SPECIMENS
Histo-techniques
• Preparation of tissue for microscopic examination
• Series of processes
• Ultimate aim – to make tissue ‘visible’ as it is
• Pathology Vs Anatomy
• Steps vary
– types of tissue & microscopy
– structure to be seen
– stains to be used
– time duration etc.
Steps
Tissue procurement and preparation
Fixation
Dehydration
Clearing
Impregnation
Embedding
Section cutting
Staining and mounting in slide
Tissue Procurement
Source of tissues
Post-mortem bodies
Cadavers
Tissue of patients from pathology lab
Animal sacrifice
Slaughter house
Tissue preparation &
precautions
Start fixation a.s.a.p.
Prevent osmotic damage
do not dry
wash with and immerse in NS
No unnecessary handling
Remove excess blood, mucosa etc.
Cut with a sharp knife
Marking of ‘cutting surface’
Labeling and putting in specimen tube
Instructions for mounting – wall, tube, stained surface
etc.
TISSUE FIXATION
• The aim of fixation:
1- To prevent autolysis and bacterial attack.
2- To fix the tissues so they will not change their volume
and shape during processing.
3- To prepare tissue and leave it in a condition which
allow clear staining of sections.
4- To leave tissue as close as their living state as
possible, and no small molecules should be lost.
5- Render tissue unaffected to the harmful effects of
chemicals to be used in further processing.
FIXATIVE SOLUTIONS:
10% neutral buffered formalin, 4% paraformaldehyde
IMPORTANT:
Formaldehyde/glutaraldehyde - directly proportional
cross-linking formation with amine groups
Factors affect fixation:
- PH.
- Temperature.
- Penetration of fixative.
- Time.
Temperature
• 0-4 oC
• Low temperature – rate of decomposition
Penetration of fixatives
• Heparin pretreatment
Always necessary?
Frozen sections
Freezing
LIQUID N2
+
Isopentane
Freezing
Cryoprotectant (OCT, sucrose solution)
Rapid low-temp freezing
Lipids and activity stains (enzymes)
TISSUE PROCESSING
Stages of processing:
1- Dehydration.
2- Clearing.
3- Embedding.
Dehydration
Types of dehydrating agents:
Ethanol, Methanol, Acetone.
• Paraffin wax
properties :
• Paraffin wax is a polycrystalline mixture of solid hydrocarbons
produced during the refining of coal and mineral oils. It is about two
thirds the density and slightly more elastic than dried protein.
Paraffin wax is traditionally marketed by its melting points which
range from 39°C to 68°C.
• The properties of paraffin wax are improved for histological
purposes by the inclusion of substances added alone or in
combination to the wax:
- improve ribboning.
- increase hardness.
- decrease melting point
- improve adhesion between specimen and wax
Impregnation with Wax
• This is allowed to occur at melting point
temperature of paraffin wax, which is 54-60oC.
Volume of wax should be about 25-30 times the
volume of tissues.
70° 90°
Da 20’ a 3h
Da 20’ a 1,30h
Stufa sottovuoto
Precaution while embedding in wax
• The wax is clear of clearing agent.
• No dust particles must be present.
• Immediately after tissue embedding, the wax must be rapidly cooled
to reduce the wax crystal size.
• There are two main mould systems and
associated embedding protocols
presently in use :
1- the Peel-a-way system using
disposable plastic moulds and
2- systems using embedding rings or
cassette-bases which become an
integral part of the block and serve as
the block holder in the microtome.
Processing methods and routine
schedules
• Machine processing
• manual processing
CUTTING
• STEEL KNIVES
• NON-CORROSIVE KNIVES FOR
CRYOSTATS
• DISPOSABLE BLADES
STAINING
Staining
• Classification of Stains: