Histopathology and Cytology: Specimen Reception and Accessioning
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Questions and Answers

What is the primary function of anatomical pathology in relation to disease diagnosis?

  • To develop new medical laboratory technologies
  • To provide medical treatment plans
  • To examine organs and tissues through various methods (correct)
  • To conduct patient interviews and medical histories
  • What is the correct sequence of steps for the Medical Laboratory Technologist (MLT) in handling surgical specimens?

  • Check laboratory request forms, then segregate into all-embedded and cut-up cases
  • Segregate into histopathology and cytology requests, then handle cut-up cases
  • Handle urgent requests, then segregate into histopathology and cytology requests (correct)
  • Segregate into all-embedded cases, then cut-up cases, and finally register in LIS
  • What is the purpose of the Laboratory Information System (LIS) in relation to laboratory results?

  • To record and report laboratory results, and perform statistical analysis (correct)
  • To provide medical treatment plans and diagnoses
  • To store patient demographic data
  • To handle and store laboratory equipment and supplies
  • What information should the laboratory request form provide for LIS registration and specimen accessioning?

    <p>All of the above, including doctor's name/code and clinical history</p> Signup and view all the answers

    What should the Medical Laboratory Technologist do if they encounter missing information on a laboratory form or specimen?

    <p>Check the laboratory form, unit/ward, and operating theater list for missing information</p> Signup and view all the answers

    What type of connective tissue is found in lymph nodes?

    <p>Reticular Connective Tissue</p> Signup and view all the answers

    What is the primary purpose of the Generic Clinical Request System (GCRS) label attached to the specimen?

    <p>To facilitate specimen tracking and identification in the laboratory</p> Signup and view all the answers

    What is the primary function of adipose connective tissue?

    <p>To store fat as a reserve and for insulation</p> Signup and view all the answers

    What is the role of connective tissue in the body's defense against infection?

    <p>To defend the body against infection through the presence of white blood cells</p> Signup and view all the answers

    What is the function of mesenchymal connective tissue in the adult body?

    <p>To surround adult blood vessels</p> Signup and view all the answers

    What is the primary function of elastic connective tissue?

    <p>To allow for flexibility and elasticity in certain tissues</p> Signup and view all the answers

    What is the role of connective tissue in the healing of wounds?

    <p>To facilitate the healing process by providing a framework for tissue repair</p> Signup and view all the answers

    What is the primary function of the PAP test in gynecological cytology?

    <p>To screen for a lesion or cancer that can develop into cervical cancer</p> Signup and view all the answers

    What is the characteristic of the epithelial lining in the thyroid gland?

    <p>Simple cuboidal epithelium</p> Signup and view all the answers

    What is the term used to describe a change in the structure of an organ or part of an organ due to disease or injury?

    <p>Lesion</p> Signup and view all the answers

    What is the type of epithelial lining found in the urethra?

    <p>Transitional epithelium</p> Signup and view all the answers

    What is the term used to describe the abnormal and uncontrolled growth of cells or tissues?

    <p>Neoplasia</p> Signup and view all the answers

    What is the type of epithelial lining found in the paranasal sinuses?

    <p>Pseudistratified ciliated columnar epithelium</p> Signup and view all the answers

    What is the characteristic of the entire epithelium covering the cervix in CIN 3?

    <p>The entire thickness of the epithelium has abnormal cells</p> Signup and view all the answers

    What is the primary purpose of cervical diagnostic methods in CIN?

    <p>To diagnose and monitor patients</p> Signup and view all the answers

    Which of the following is NOT a common diagnostic method for CIN?

    <p>Mammography</p> Signup and view all the answers

    What is the role of the doctor in diagnosing CIN?

    <p>To select the diagnostic methods and sequence</p> Signup and view all the answers

    What is the primary purpose of a histopathology laboratory?

    <p>To process and examine tissue samples</p> Signup and view all the answers

    What is the term for the process of receiving and processing tissue samples in a histopathology laboratory?

    <p>Specimen accessioning</p> Signup and view all the answers

    What is the significance of a 'U' present in the GCRS label just before the test code?

    <p>It signifies that the GCRS request for the patient is urgent</p> Signup and view all the answers

    What is the primary function of the fume hood in the laboratory?

    <p>To provide proper ventilation and airflow</p> Signup and view all the answers

    What is the purpose of the cold plate in the embedding center?

    <p>To maintain a stable temperature for the paraffin wax</p> Signup and view all the answers

    What is the primary goal of the Haematoxylin and Eosin (H&E) stain?

    <p>To facilitate the microscopic examination of cells, structures, and morphological changes</p> Signup and view all the answers

    What is the main difference between Anatomical & Cellular Pathology (ACP) specimens and other specimens?

    <p>ACP specimens are categorized into 5 types of test codes</p> Signup and view all the answers

    What is the main purpose of storing and retaining clinical specimens?

    <p>To provide evidence for quality control and quality assurance</p> Signup and view all the answers

    Study Notes

    Connective Tissue

    • Connective tissue is classified into several types:
      • Connective tissue proper (dense, adipose, specialized)
      • Reticular connective tissue (e.g., lymph nodes)
      • Elastic connective tissue (e.g., walls of large arteries)
      • Embryonic connective tissue
      • Mesenchymal connective tissue (e.g., around adult blood vessels)
      • Mucous connective tissue (e.g., umbilical cord)
    • General functions of connective tissue include:
      • Supporting and binding other tissues
      • Defending and protecting the body against infection
      • Providing metabolic support to cells
      • Healing wounds
      • Storing fat for reserve and insulation

    Specimen Accessioning and Processing

    • Functions of anatomical pathology include:
      • Diagnosis of disease based on macroscopic, microscopic, immunologic, chemical, and molecular examinations
    • Basic procedures of specimen reception and accessioning in histopathology and cytology include:
      • Handling urgent requests
      • Ensuring specimens and laboratory request forms meet acceptance requirements
      • Segregating specimens into histopathology and cytology requests
      • Segregating surgical specimens into all-embedded and cut-up cases
    • The Laboratory Information System (LIS) is used for:
      • Recording laboratory results
      • Tracing laboratory results
      • Reporting laboratory results
      • Statistics and data processing
    • The Medical Laboratory Technologist should be proficient in:
      • Registering and accessioning specimens in LIS
      • Using the laboratory request form for LIS registration and specimen accessioning
      • Ensuring accurate and complete information on the laboratory request form

    Muscle Tissue

    • Types of muscle tissue:
      • Skeletal muscle
      • Characteristics: voluntary, striated, and multinucleated
      • Structure of muscle fiber:
        • Sarcolemma
        • Sarcoplasm
        • Myofibrils
        • Sarcomeres

    Nervous System

    • Components of the nervous system:
      • Central nervous system (CNS)
      • Peripheral nervous system (PNS)
      • Neurons
      • Neuroglia
    • Structure of the neuron:
      • Dendrites
      • Cell body
      • Axon
      • Terminal buttons
    • Signal transmission through neurons:
      • Chemical signals
      • Electrical signals
    • Travel of messages in the nervous system:
      • Synaptic transmission
      • Neurotransmitters

    Epithelial Tissue

    • Types of epithelial tissue:
      • Simple cuboidal epithelium (e.g., thyroid gland)
      • Simple columnar epithelium (e.g., gall bladder, large intestine)
      • Pseudstratified ciliated columnar epithelium (e.g., paranasal sinuses)
      • Stratified columnar epithelium (e.g., urethra, transitional epithelium of urinary bladder)
      • Stratified squamous epithelium (e.g., ectocervix)

    Gynecological Cytology

    • Gynecological cytology is also known as the PAP test
    • A cervical sample is observed under the microscope to screen for lesions or cancer that can develop into cervical cancer

    Histology and Cytology Terminology

    • Lesion: a change in the structure of a organ or part of an organ due to disease or injury

    • Neoplasia: abnormal and uncontrolled growth of cells or tissues, with the abnormal growth itself named a neoplasm### Cervical Intraepithelial Neoplasia (CIN)

    • CIN 3 (high grade): the entire thickness of the epithelium covering the cervix has abnormal cells

    • No symptoms, diagnosis requires cervical diagnostic methods using screening and examinations

    Diagnostic Methods of CIN

    • HPV screening
    • Cytologic examination (Papanicolaou smear)
    • Cervical biopsy and histologic examination
    • Colposcopy

    Specimen Accessioning and Processing

    • Specimen registration using a barcode reader
    • Labeling with a unique specimen number and barcode
    • Generation of a worksheet automatically by the computer system
    • Verification of information on the worksheet and specimen label

    Anatomical and Cellular Pathology (ACP)

    • Divided into 5 types of test codes in Hospital Authority:
      • Cytology Examination (AN, AG, AF)
      • Histology Examination (A, AS)
    • Urgent requests are indicated by "U" in the label

    Procedures of Specimen Grossing

    • Printing of specimen cassettes
    • Matching of cassette and specimen number
    • Selection of tissue blocks by pathologist
    • Specimen cassette placement
    • Wrapping of tiny tissues with wrapping paper
    • Closing of cassettes
    • Making remarks to cassettes if necessary

    Examples of Surgical Specimens

    • Skin, lung, liver, stomach, colon, ovary, pancreas, bone, tongue, breast, esophagus, thyroid

    All-Embedded Specimens

    • Suitable for small sample size or volume
    • Do not require grossing or block-taking by pathologists
    • Examples: nasal biopsy, esophagus biopsy, gastric biopsy, cervical biopsy, bladder biopsy, pleural biopsy, uterine curettage

    Tissue Embedding

    • Using paraffin wax
    • Melting point of paraffin wax: around 58°C
    • Temperature of melted wax: 2-4°C above melting point
    • Components of embedding center: cold plate, heated workspace, paraffin wax reservoir, paraffin dispense paddle, touchscreen controls, built-in lighting

    Microtomy

    • Using rotary microtome
    • Paraffin tissue sections floating onto water bath
    • Optimum temperature for water bath: 40°C-50°C
    • Procedures of paraffin section(s) pick up from water bath

    Haematoxylin and Eosin (H&E) Stain

    • Major steps: remove paraffin wax, hydrate, stain nuclei, complete nuclear stain, remove excess background stain, counterstain with eosin, dehydrate, mount
    • Purpose: facilitates microscopic examination of cells, structure, and morphological changes

    Molecular Biology Study

    • Examines molecular and biochemical processes in cells
    • Seeks additional diagnostic information
    • Examples: DNA replication, RNA transcription, protein translation, infections, diseases

    Storage and Retention of Specimens and Documents

    • Considerations: condition of storage, proper labeling, minimal retention time, maximal retention time
    • Examples of specimens: surgical tissues, all-embedded, fixed in formalin, fresh surgical tissue, post-mortem specimens, cytology specimens, paraffin blocks, stained and unstained tissue in glass slides
    • Examples of documents: laboratory request forms, worksheet records, laboratory reports, internal audits reports, equipment maintenance records, internal quality control records, external quality assurance records, standard operation procedures

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    Description

    Test your knowledge of the basic procedures involved in specimen reception and accessioning in histopathology and cytology, including the functions of anatomical pathology and medical laboratory procedures.

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