TISSUE PROCESSING IN HISTOPATHOLOGY LAB (DMLT)

 

TISSUE PROCESSING IN HISTOPATHOLOGY LAB

PREPARED BY MR. ABHIJIT DAS

Tissue processing in a histopathology laboratory is a series of steps to prepare tissue samples for microscopic examination. The goal is to preserve the tissue in as close to its original state as possible for examination under a microscope. 

STEPS OF TISSUE PROCESSING

1.    DEHYDRATION

Ø The fixed tissue is gradually dehydrated by passing it through alcohol baths with increasing concentrations: 70%, 80%, 90%, and finally 100% ethanol.

Ø Each step removes water from the tissue, preparing it for embedding in paraffin wax.

Ø Dehydration is essential since water is incompatible with the paraffin wax used for embedding.

2.    CLEARING

Ø The dehydrated tissue is treated with a clearing agent, like xylene, which removes the alcohol in the tissue.

Ø Clearing makes the tissue translucent and prepares it for infiltration with paraffin wax.

Ø This step is essential for ensuring the tissue is ready for embedding.

3.    INFILTRATION OR IMPREGNATION

Ø The cleared tissue is immersed in molten paraffin wax, which infiltrates and fills the tissue spaces.

Ø The wax provides support, making the tissue stable for sectioning.

4.    EMBEDDING OR BLOCKING OUT

Ø The tissue is placed in a mold and covered with molten paraffin wax.

Ø The wax is allowed to cool and solidify, forming a solid block.

5.    SECTIONING

Ø The embedded tissue block is cut into very thin slices, typically 4-5 micrometers thick.

Ø These thin sections are carefully placed on microscope slides.

Ø The slides are then prepared for further staining and examination.

6.    STAINING

Ø The tissue sections are stained with appropriate dyes to highlight different structures within the tissue.

Ø Staining enhances the visibility of various components under the microscope.

Ø This prepares the sections for detailed examination.

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