Pathological Sciences: Tissue Processing Lecture 3

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30 Questions

Which step comes after Fixation in the routine tissue processing?

Dehydration

What is the aim of the Paraffin Technique in routine tissue processing?

To prepare tissues in a supporting medium ready to be cut into thin sections

What is the first step in the steps from specimen to report?

Fixation

In tissue processing, what follows Impregnation?

Tissue embedding

What is the last step in routine tissue processing?

Block & Slide archiving

What instrument is used for cutting FFPE blocks?

Microtome

What is the embedding medium of choice for routine specimens?

Paraffin wax

What is the purpose of the clearing reagent in tissue processing?

To act as a link between the dehydrator and wax

Which reagent is used in routine practice as a dehydrating solution?

Isopropyl alcohol

What is the main drawback of industrial methylated spirit (IMS)?

It is harmful by inhalation and if swallowed

What should be done if Xylene waste is produced?

Dispose of it as specialist waste

How are tissue processing schedules validated?

By using surplus clinical material not required for diagnosis

What is the role of the intermediary steps in paraffin processing?

To transfer tissue through different chemical solutions

What are the characteristics of paraffin wax that make it suitable for tissue processing?

It has a consistency very similar to that of the tissue itself and it can support the cutting of thin sections

What is the most likely result of insufficient tissue fixation and formalin penetration?

Incomplete processing affecting overall morphology, chromatin detail, tissue integrity

What is the typical color of formalin pigment seen in a formalin-fixed paraffin section of kidney?

Brown to black

What can be used to replace xylene in the processing of specimens?

Isopropyl alcohol in combination with ethanol

What is required for processing fatty tissues?

Extended time and increased temperature

What has improved, allowing for an increase in the number of larger tissue blocks processed to meet reporting demands?

Improved processing equipment

What is the embedding medium typically used for routine specimens in tissue processing?

Paraffin wax

What is the purpose of hard tissue pre-treatment in tissue embedding process?

To de-calcify the tissue

What is the aim of using a cold plate in the tissue embedding process?

To aid in tissue orientation in the mould

Which automated stainer and coverslipper is mentioned in the text?

Sakura Automated Stainer and coverslipper

What is the purpose of block checking in the quality assurance process?

To record case number and number of blocks before processing

What comes after fixation in the steps from specimen to report?

Tissue processing

What is the typical thickness of routine sections in microtomy?

3-4 microns

What is the main drawback of industrial methylated spirit (IMS) mentioned in the text?

Strong odor

What is the role of intermediary steps in paraffin processing according to the text?

To maintain tissue shape during processing

What instrument is used for cutting FFPE blocks according to the text?

Manual Sakura

What is done if Xylene waste is produced according to the text?

Treat it as hazardous waste

Learn about tissue processing, embedding, microtomy, staining, and quality assurance in the field of pathological sciences. Explore the principles, practices, and reagents used in tissue processing, as well as the techniques for embedding and cutting blocks using a microtome.

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