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WorksheetsHistopathology Midterms Review
Total questions: 118
Worksheet time: 1hrs 3mins
Process whereby the clearing agent is completely removed
Impregnation
Embedding
Process whereby the impregnated tissue is placed into a precisely arranged position in a mold
Embedding
Impregnation
4 types of impregnation and embedding medium
Paraffin wax
Celloidin
Gelatin
Plastic
Paraplast
Embeddol
Ester wax
Carbowax
Simple, most common and best embedding medium used for routine tissue processing
Paraffin
Xylene
Paraffin wax is solid at room temperature but its melting point is
65°C - 70°C
60°C - 65°C
Most common melting point of paraffin wax for histological use
56°C - 58°C
65°C - 70°C
Temperature to decrease viscosity and improve infiltration of the tissue
60°C - 65°C
39°C - 68°C
Paraffin wax is traditionally marketed by what melting points
39°C - 68°C
60°C - 65°C
Which common waxes is normally used for routine work
45°C
52°C
56°C
58°C
Ways by which paraffin wax impregnation and embedding may be performed
Manual processing
Automatic processing
Vacuum embedding
Requires at least 4 changes of wax at 15 mins intervals
Manual
Automatic
Vacuum embedding
Only 2-3 changes of wax, rapid diagnosis with less technicality
Manual
Automatic
Vacuum embedding
An automatic tissue processing machine
Elliott Bench-Type Processor
Elliot Bench-Type Processor
The frequency with which fluids are changed depends on the number and sizes of the tissues processed
True
False
The presence of odor in the clearing agent during final paraffin wax bath indicates that the paraffin wax needs to be changed
True
False
Dehydrating fluids should be changed frequently
True
False
The first 100% ethanol bath should be discarded
True
False
The clearing agent and the dilute ethanols should be changed at least once a week
True
False
Wax bath thermostats should be set at least 3°C above the melting point of the wax
True
False
Involves wax impregnation under negative atmospheric pressure. Recommend for urgent biopsies.
Manual
Automatic
Vacuum embedding
Vacuum infiltration consists of
Wax bath
Fluid trap
Vacuum gauge
Requires a vacuum infiltrator or embedding oven to which a vacuum of up to 760 mm Hg is applied
Vacuum infiltration
Vacuum embedding
Time required for complete impregnation in vacuum embedding
Reduced by 25% - 75%
Reduced by 20% - 70%
Which gives the fastest results among the 3 methods of paraffin wax impregnation
Manual
Automatic
Vacuum embedding
Tissues should not be left in the paraffin oven for more than
4 hours
2 hours
Paraffin oven must be maintained at a temperature of
2°C - 5°C
65°C - 70°C
Coarse filter paper for wax
Green's No. 904
Blue's No. 904
Substitutes for paraffin wax
Paraplast
Embeddol
Ester wax
Water soluble wax
Dimethyl sulphoxide (DMSO)
Highly purified paraffin and synthetic plastic polymers.
Melting point: 56 - 57°C
Winter: 54 - 56°C
Summer: 60 - 63°C
Paraplast
Embeddol
Ester wax
Water soluble wax
Dimethyl sulphoxide (DMSO)
Less brittle and less compressible
Melting point: 56 - 58°C
Paraplast
Embeddol
Ester wax
Water soluble wax
Dimethyl sulphoxide (DMSO)
A semisynthetic wax recommended for embedding eyes
Bio/aid
Tissue mat
Produce of paraffin and containing rubber
Bio/aid
Tissue mat
Not soluble in water but soluble in 95% ethyl alcohol
Melting point: 46 - 48°C
Paraplast
Embeddol
Ester wax
Water soluble wax
Dimethyl sulphoxide (DMSO
Used for impregnation without prior clearing of tissue
Paraplast
Embeddol
Ester wax
Water soluble wax
Dimethyl sulphoxide (DMSO)
May be used as clearing agent in Ester wax
Cellosolve
Ethylene glycol monoethyl ether
Xylene
Are plastic polymers, mostly polyethylene glycols
Melting point: 38 - 42°C or 45 - 56%
Paraplast
Embeddol
Ester wax
Water soluble wax
Most commonly used polyethylene glycol
Carbowax
Paraffin wax
Celloidin
Gelatin
True on carbowax
Four changes: 1 in 70%, 1 in 90%, 2 in 100%
Temperature: 56°C
30 mins, 45 mins, 1 hr
Will reduce tissue distortion and promote flattening and floating out of sections
Additing soap to water
10% Polyethylene glycol
Proprietary blends of plastic polymer paraffin waxes reduces infiltration times and facilitates thin sectioning
Paraplast
Embeddol
Ester wax
Dimethyl sulphoxide (DMSO)
Purified form of nitrocellulose
Paraffin wax
Celloidin
Gelatin
Plastic
Suitable for specimens with large hollow cavities, hard and dense tissues, and whole embryo
Paraffin wax
Celloidin
Gelatin
Plastic
Recommend for bones, teeth, brain, whole organs
Wet celloidin
Dry celloidin
Ether and alcohol: 12 - 24 hrs
Thin celloidin (2-4%): 5 - 7 days
Medium celloidin (4-6%): 5 - 7 days
Thick celloidin (8-12%): 3 - 5 days
Wet celloidin
Dry celloidin
Preferred for processing whole eye sections
Wet celloidin
Dry celloidin
Equal parts of chloroform and cedarwood oil
Gilson's mixture
Gravin's mixture
More explosive than celloidin
Wet celloidin
Dry celloidin
Low viscosity nitrocellulose (LVN)
Plasticizers that prevent tissues from cracking in LVN
Oleum ricini
Castor oil
Cedarwood oil
Chloroform
Rarely used except when dehydration is to be avoided. It is water soluble and does not require dehydration and clearing
Paraffin wax
Celloidin
Gelatin
Plastic
Serves to prevent the growth of molds
1% phenol
2% phenol
The process by which a tissue is arranged in precise positions in the mold
Orientation
Positioning
Types of blocking out molds
Leuckhart's embedding mold
Compound embedding unit
Plastic embedding ring and base mold
Disposable embedding mold
2 L shaped strips
Leuckhart's embedding mold
Compound embedding unit
Plastic embedding ring and base mold
Disposable embedding mold
Series of interlocking plates resting on a flat metal base
Leuckhart's embedding mold
Compound embedding unit
Plastic embedding ring and base mold
Disposable embedding mold
Special stainless steel base mold
Leuckhart's embedding mold
Compound embedding unit
Plastic embedding ring and base mold
Disposable embedding mold
Disposable embedding mold
Peel-away
Plastic ice tray
Paper boat
Disposable thin plastic embedding molds, available in 3 different sizes
Peel-away
Plastic ice tray
Paper boat
Recommend for busy routine laboratories
Peel-away
Plastic ice tray
Paper boat
Embedding celloidin blocks but are useful for paraffin wax blocks. Cheap and easy to make.
Peel-away
Plastic ice tray
Paper boat
X is drawn with soft lead pencil on the inner surface of the bottom
Peel-away
Plastic ice tray
Paper boat
Types of celloidin
Wet celloidin
Dry celloidin
Low viscosity nitrocellulose (LVN)
Types of plastic (resin)
Epoxy
Polyester
Acrylic
Recommended for embedding hard tissues such as bones, teeth and eyes
Celloidin
Nitrocellulose
Used to control the rate or evaporation of solvent
Bell jar
Urn
Process by which tissues are first embedded or fully infiltrated with a supporting medium such as agar or nitrocellulose, then infiltrate a second time with paraffin wax
Celloidin
Nitrocellulose
Double-embedding
Made up of a balance mixture of epoxy plastic, catalysts, and accelerators
Epoxy
Polyester
Acrylic
Originally introduced for electron microscopy in the mid 1950s, now seldomly used
Epoxy
Polyester
Acrylic
Made up of esters of acrylic or methacrylic acid, and are used extensively for light microscopy
Epoxy
Polyester
Acrylic
Types of epoxy
Bisphenol A (Araldite)
Glycerol (Epon)
Cyclohexene dioxide (Spurr)
Low viscosity mixture which provides rapid infiltration of tissues
Bisphenol A
Glycerol
Cyclohexene dioxide
Spurr's Resin
A carcinogenic component of epoxy
Vinyl cyclohexane dioxide (VCD)
Glycol methacrylate (GMA)
Methyl methacrylate (MMA)
Types of acrylic
Vinyl cyclohexane dioxide (VCD)
Glycol methacrylate (GMA)
Methyl methacrylate (MMA)
A catalyst that decomposes to form phenyl radicals acting as an active site for the polymerization of acrylics
Benzoyl peroxide
Chloroform
Aniline oil
Process whereby alcohol is removed from the tissue
Clearing
Dehydration
Most common clearing agent
Xylene
Toluene
Benzene
Used when the tissue is to be cleared directly from water
Xylene
Toluene
Benzene
Glycerin and Gum syrup
Has a lower boiling point than xylene but takes longer to clear
Toluene
Benzene
Chloroform
Affects the speed of penetration of the clearing agent
Prolonged exposure
Viscosity
Boiling point
Clearing time of xylene
30 mins to 1 hour
15 mins to 30 mins
Both
Better at preserving tissue structures. Substitute for xylene and benzene
Cedarwood oil
Chloroform
Toluene
Clearing time of toluene
1 to 2 hours
30 mins to 1 hour
15 mins to 1 hour
Penetrates amd clears tissues rapidly. Highly carcinogenic and strongly discouraged
Chloroform
Benzene
Carbon tetrachloride
Clearing time of benzene
1 to 2 hours
30 mins to 1 hour
15 mins to 1 hour
Clearing agent that does not become translucent. Can process thicker tissue blocks
Chloroform
Cedarwood oil
Aniline oil
Clearing time of chloroform
6 to 24 hours
2 to 3 days
25 mins to 45 mins
Clears both paraffin and celloidin sections. Recommend for CNS and Cytological studies
Aniline oil
Terpene
Cedarwood oil
Clearing time of cedarwood oil
2 to 3 days
6 to 24 hours
1 to 2 hours
Recommended for embryos, insects, and very delicate specimens
Terpene
Aniline oil
Clove oil
Tissues become brittle, aniline dyes are removed, and celloidin is dissolved
Clove oil
Aniline oil
Terpene
Similar to chloroform but cheaper
Tetrahydrofuran
Carbon tetrachloride
Dioxane
Ability to perform two processes at the same time, dehydrating and clearing
Tetrahydrofuran
Carbon tetrachloride
Dioxane
Miscible both with water and paraffin. Used primarily when time is important
Tetrahydrofuran
Carbon tetrachloride
Dioxane
Found in essential oils. Earliest transition solvents to be used
Terpene
Limonene
Orange oil
Found in citrus peels such as lemons and oranges
Terpene
Limonene
Orange oil
Lowest hazard rating of all xylene alternatives
Terpene
Limonene
Orange oil
Government regulations have restricted most of the effective solvents in this class
Chlorinated hydrocarbon
Carbine tetrachloride
Benzene
Process of removing intercellular and extracellular water from the tissue
Clearing
Dehydration
Removal of water by evaporation from a solid, semi-solid, or liquid
Drying
Dehydration
General rule of dehydration:
Amount in each step should not be less than __ the volume of the tissue
5x
10x
20x
Commonly used dehydrating agents
Alcohol
Acetone
Dioxane
Cellosolve
Triethyl phosphate
Tetrahydrofuran
Solutions utilized to make dehydration possible. Alcohols of various types. Used in increasing strengths to remove aqueous tissue fluids with little disruption to the tissue caused by diffusion currents
Drying
Dehydration
Dehydrating agents
Anhydrous fluid can be used as a dehydrating agent for the
reason that
It does not damage the tissue proteins
Miscible with the fluids to be used subsequently
Dehydrate even fatty tissues
Dehydrate rapidly without producing considerable shrinkage or distortion of
tissues
Recommended alcohol for routine dehydration of tissues.
Clear, colorless flammable liquid
Fast-acting and penetrates tissues easily
Not poisonous and not very expensive
Ethyl
Methyl
Butyl
Toxic dehydrating agent
Primarily employed for: blood & tissue films and for smear
preparations
Ethyl
Methyl
Butyl
Slow dehydrating agent
Utilized in plant & animal micro-techniques
Recommended for tissues which do not require rapid processing
Ethyl
Methyl
Butyl
A temperature of 37C will hasten dehydration time required for urgent examinations such as
Fibrous organs
Fragmentary biopsies
CNS biopsies
Boiling point of 78.3C
Ethanol
Butanol
Tertiary butanol
Isopropanol
Pentanol
Boiling point of 117.7C
Ethanol
Butanol
Tertiary butanol
Isopropanol
Boiling point of 82.8C
Universal solvent
Ethanol
Butanol
Tertiary butanol
Isopropanol
Boiling point of 82.3C
The best all-around substitute for ethyl alcohol
Ethanol
Butanol
Tertiary butanol
Isopropanol
Boiling point of 128C
Pentanol
Acetone
Dioxane
Boiling point of 56C
For urgent biopsies which it dehydrates in 30 mins to 2 hours
Pentanol
Acetone
Dioxane
Boiling point of 101.5C
Excellent dehydrating and clearing agent
Pentanol
Acetone
Dioxane
Boiling point of 156.4C
Combustible at 110-120F
Cellosolve
Triethyl phosphate
Tetrahydrofuran (THF)
Boiling point of 215C
Used to dehydrate sections and smears following certain stains
Cellosolve
Triethyl phosphate
Tetrahydrofuran (THF)
Also a dehydrating and clearing agent. May cause conjunctival irritation
Cellosolve
Triethyl phosphate
Tetrahydrofuran (THF)
As a transition fluid
Acetonitrile
Propylene oxide
A good substitute for propylene oxide
Acetonitrile
Cellosolve
Dioxane
