Steps in Tissue processing
Fixation
Dehydration
Clearing
Infiltration
Embedding
Trimming
Sectioning
Staining
Mounting
Labelling
first and most important step
fixation
two purpose of fixation
primary purpose of fixation
preserve morphological and chemical integrity
tissues must be fixed _____
within 1hr to prevent putrefaction and autolysis
penetration rate of formalin
1mm/hr
ratio of fixative to tissue (routine)
20:1
ratio of fixative to tissue (Oste)
5-10 x
ratio of fixative to tissue (museum preparations)
≥50 x
if not fixed ASAP, autopsy materials must be:
if not fixed ASAP, surgical specimens must be:
refrigerated, but do not freeze
must be fixed before grossing (suspended whole in 10% NBF for 2-3 weeks)
brain
tissues tend to float (put in cotton or open completely before fixation)
hollow organs (stomach, intestines)
tissues tend to float (cover with gauze)
air-filled lungs
fixed (injection with formol alcohol) before grossing, then immerse in fixative
eyes
water must not be used in tissues with _____ , because it is water-soluble
glycogen
must be washed with water overnight, then immerse in tissue softeners
hard tissues
example of hard tissues:
cervix
fibroids
hyperkeratotic skin
fingernails
factors involved in fixation:
pH
6 - 8
factors involved in fixation:
temperature
*routine: _____
*autotechnicon: _____
*EM and histochem: _____
*rapid fixation: _____
*tissues with TB: _____
room temperature
40C
0-4C
60C
100C
factors involved in fixation:
size of tissue
*routine (LM): _____
*edematous lungs: _____
*EM: _____
2cm^2 (<5mm)
1 - 2 cm thick
1 - 2 mm^2
factors involved in fixation:
osmolality
slightly hypertonic
(400-450 mOsm)
factors that accelerates/hastens fixation
factors that retards/slows down fixation