Histopathological specimen preparation faults
Transcript of Histopathological specimen preparation faults
FAULTS OBSERVED IN TISSUE PROCESSINGFAULTS REASON REMEDY
Brittle or hard tissue
Prolonged fixation Tissue may be softened by soaking in a small dish or bowl containing water with detergent, phenol, or molliflex
Prolonged dehydrationProlonged clearingProlonged paraffin infiltrationOverheated paraffin ovenDrying out of tissue before actual fixation
Clearing agent turns milks as soon as tissue is placed in it
Water not completely removed due to incomplete dehydration
Repeat dehydration with absolute alcohol, then clear again
On trimming, tissue smells of clearing agent
Clearing agent not completely removed due to insufficient impregnation
Block is trimmed down nearest to the tissue. Remaining wax is melted on embedding oven and paraffin impregnation is repeated, changing the paraffin at least once before blocking
Tissue is opaque, section cutting is difficult due to presence of alcohol
Insufficient clearing
Repeat clearing; if object has already been embedded, prolong clearing up to 12 hours the re-embed
Tissue shrinks away from wax when trimmed
Insufficient dehydration therefore incomplete clearing and impregnation
Repeat the whole procedure
Tissue is soft when block is trimmed
Incomplete fixation
Repeat the whole procedure
Air holes found on tissue during trimming
Incomplete impregnation
Repeat impregnation
On trimming, wax appears crystalline
Contaminated wax
Re-embed in freshly filtered waxBlock not cooled
rapidly enoughParaffin block, after cooling, is moist and crumbles
Insufficient paraffin impregnation
Repeat paraffin impregnation, then re-embed
FAULTS OBSERVED IN TISSUE CUTTINGFAULTS REASON REMEDY
Section fail to form ribbons
Surfaces and edges of the block are not parallel
Re-trim the block
Horizontal surface of the block is not parallel to the knife
Readjust and re-orient the block
Paraffin wax is too hard
Coat horizontal edges of the block with wax of lower melting point
Knife is tilted too much
Reduce the tilt
Sections are too thick
Readjust the thickness of the sections
Knife is dull Hone and stropSection roll up on cutting so that they adhere and get broken against the knife edge
Knife is blunt Sharpen the knifeTilt of knife is too great
Reduce the tilt
Knife edge is dirty
Clean the knife edge
Ribbon is curved, crooked, or uneven instead of straight
Blunt of dull spot on the knife, producing an irregular knife edge
Adjust the knife so that knife edge will present a uniformly shard edge to the block, or sharpen
Edges of block are not parallel but round or wedge shape
Re-trim the block
Knife is not parallel to the block
Readjust the knife and block
Paraffin is impure
Repeat impregnation using pure wax
Sections are compressed, wrinkled, or jammed
Knife is blunt or dull
Re-sharpen the knife
Paraffin block is warm and soft
Cool the block on ice water until firm
Knife edge is coated with paraffin
Clean the knife edge
Sections are too thin
Readjust thickness of section
Microtome set screw is loose
Tighten the screw
Tilt of knife is too vertical
Reduce the tilt
Sections are squashed (width of each section is less than that of block)
Bevel of knife is lost due to incorrect sharpening
Re-sharpen using a knife back or automatic knife sharpener
Hole is formed in the section
Bubble or dirt formed in the embedding medium
Re-embed in freshly filtered wax if necessary
FAULTS REASON REMEDYHard spot in tissue due to calcium
Once embedded in paraffin wax, decalcification is impractical; use base sledge microtome with a wedge knife
Sections of unequal thickness are produced
Tilt of knife is too great or bevel is not cleared, hence object is compressed against the knife edge
Reduce the tilt
Clamp set screw in knife or block holder is loose
Tighten the screw
Blocks are too large
Cut blocks into small fragments
Blocks are too hard
Soften the blocks in detergent or phenol
Sections adhere to the knife or other parts of the microtome
Static electricity due to low atmospheric humidity
Breathe out or blow gently on the block and knife to breakup static electricity, or boil water in the room to increase the humidity
Knife edge is dirty
Clean the knife edge
Knife edge is dull Sharpen the knifeKnife tilt is too great
Reduce the tilt
Ribbon is split or lengthwise vertical scratches are seen on sections
Nicks or damage on the knife edge
Sharpen the knife
Dirty embedding Re-embed in filtered wax
Knife edge is dirty
Clean the knife edge with xylol
Tilt of knife is too great
Reduce the tilt
Sections are lifted from the knife on upstrokes
Knife tilt is too great
Reduce the tilt
Knife is dull Sharpen the knifeParaffin is too soft or room temperature is warm
Cool paraffin wax in ice water
Resistance is felt on the lower part of the section during cutting
Tilt of the knife is too small, paraffin block is therefore compressed against the base of the knife towards the end of stroke
Increase the tilt
FAULTS REASON REMEDYHorizontal or parallel lines or furrows across the section (“Chatters”) are seen, forming thin and thick zones
Knife edge vibrates due to hardness of tissue
Treat with phenol during processing or collodionize
Tilt of knife is too great
Reduce the tilt
Section cut is sometimes thin, sometimes thick
Knife is blunt Sharpen the knifeKnife is not clamped properly
Adjust the knife
Tilt of knife of block holder is loose
Tighten adjusting and locking screws
Knife tilt is too small that block is compressed by bevel and section is not cut
Increase the tilt
Knives make a hard metallic scraping or ringing sound on backstroke, when section is cut
Tilt of knife is too slanted
Readjust the angulation of the knife
Tissue is too hard
Take fresh block treated with phenol during processing
Knife blade is too thin
Change the knife
Frozen tissue crumbles and comes off the block holder when cut
Freezing is not adequate
Refreeze the tissue block
Frozen tissue chips into fragments when cut
Tissue is frozen too hard
Warm the tissue with fingers