MASSONS Trichrome Principle

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SUR G ICA L P A THOLOG Y - HISTOLOG Y Dat e: STA INING MA NUAL - CONNE CTIVE TISSUE Pag e: 1 of 4 COLLAGEN - MASSON'S TRICHROME STAI N(T RI ) PURPOSE: Used t o diff erent iat e bet ween col lagen a nd smoot h muscl e i n t umor s, and the increase of collagen in diseases such as cirrhosis. R out ine st ain f or liver and kidney biopsies. PRI NCI PLE: As t he name implies , t hree dyes are employed select ively stai ning muscl e, colla gen f ibers, fibrin, and eryt hrocyt es. The general rule in trichrome staining is that t he l ess porous tissues are colored by the smallest dye mo lecule; whenever a dye of large molecular si ze is able to penet rate, it will always do so at the expense of the smaller molecule. Others suggest that the tissue is st ai ned first wit h the acid dye, B iebrich S carlet , which binds with t he acidophili c t issue components. Then when treated with the phospho acids, the less permeable components retain the red, while the red is pulled out of t he collagen. At t he same time causing a link wit h t he collagen t o bind wit h t he aniline blue. FIXATIVE: Bouin's is preferred, 10% formalin. T ECHNI QUE: Cut paraf f in sect ions 4 m EQ UI PMENT: R inse glassware in DI wat er. Coplin j ars, 6 0 ° C ov en or wat erbat h, microwave REAGENTS: B ou i n ’s Fi xat i ve Saturated p icric acid 1500.0 ml Formaldehyd e 500.0 ml Gl ac i a l ac e ti c ac i d 10 0 .0 m l Mix well, label, dat e and initial. Stable for 2 years. CAUTION: Carcinogenic, irri t an t . B i e b r i ch S car l et : Biebrich s c arle t 2.7 gm A c id f uchsin 0.3 gm Di st i l l e d w at er 300.0 ml Glac ial ace t ic acid 3.0 ml Mix well, label wit h init ial a nd dat e. S olution is stable for 6 months. CAUTION: Avoid cont act and i nhalation.

Transcript of MASSONS Trichrome Principle

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SURGICAL PATHOLOGY - HISTOLOGY Dat e:

STAINING MANUAL - CONNECTIVE TISSUE Page: 1 of 4

COLLA GEN - MA SSON'S T RI CHROME STA I N(T RI )

PURPOSE: Used t o diff erent iat e between collagen and smooth muscle in

t umors, and the increase of collagen in diseases such as cirrhosis.Rout ine st ain f or liver and kidney biopsies.

PRI NCI PLE: As t he name implies, t hree dyes are employed select ively

staining muscle, collagen f ibers, fibrin, and eryt hrocyt es. The general rule

in t richrome staining is that t he less porous t issues are colored by t he

smallest dye molecule; whenever a dye of large molecular size is able to

penet rate, it will always do so at t he expense of t he smaller molecule.

Ot hers suggest t hat t he t issue is st ained first wit h t he acid dye, Biebrich

Scarlet , which binds with t he acidophilic t issue components. Then when

treated with the phospho acids, the less permeable components retain the

red, while t he red is pulled out of t he collagen. At t he same t ime causing a

link wit h t he collagen t o bind wit h t he anil ine blue.

FIXATIVE: Bouin's is preferred, 10% formalin.

TECHNI QUE: Cut paraf f in sect ions 4 m

EQUI PMENT: Rinse glassware in DI water. Coplin jars, 60°C oven or

wat erbat h, microwave

REAGENTS:

Boui n ’ s Fi x at i v e

Sat u rat e d picr ic acid 1 50 0.0 ml

Formaldehyde 500.0 ml

Glacial acet ic ac id 100.0 ml

Mix well, label, dat e and init ial.

Stable for 2 years.

CA UT I ON: Ca r c i n og en i c , i r r i t a nt .

Bi ebr i c h Sc ar l et :

Biebr ich scar let 2.7 gm

Acid f uchsin 0.3 gm

Dist i l led wat er 300.0 ml

Glacial acet ic acid 3 .0 ml

Mix well, label wit h init ial and

date. Solut ion is stable for 6months.

CAUTI ON: Avoi d cont ac t and i nha l a t i on.

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CONNECTIVE TISSUE

MA SSON’ S TRI CHROME Page: 2 of 4

Wei ger t ' s I r on Hem at ox y l i n

St o c k So l u t i o n A :

Hemat oxy lin 5.0 gm

95% alcohol 500.0 ml

Mix well, label wit h init ial and

date. St able for 1 year.

CAUTI ON: Fl ammab l e , avo i d cont ac t and

i n h a l a t i o n .

St o c k So l u t i o n B:

2 9 % f err ic chlor ide 20 .0 ml

Dist i l led wat er 475.0 ml

Hydrochloric acid 5 .0 ml

Mix well, label wit h init ial and

date. St able for 1 year.

CAUTI ON: Co r r os i ve , avo i d con t ac t and

i n h a l a t i o n .

Wei ger t ' s Hem at ox y l i n

Wo r k i n g So l u t i o n

Solut ion A 25 .0 ml

Solut ion B 25 .0 ml

Mix well, solut ion will remain

stable for 3 - 4 days.

Ph os p ho t u ng s t i c /  

Ph os p ho m ol y b di c A c i d So l u t i o n:

Phosphotungst ic acid 25 .0 gm

Phosphomolybdic acid 25.0 gm

Dist i l led wat er 1000 .0 ml

Mix well, label wit h init ial and

date. Solut ion is st able for 6

months.

CAUTI ON: Avoi d con t ac t and i nha l a t i on.

A ni l i ne Bl ue:

Anil ine b lue 2.5 gm

Dist i l led wat er 100 .0 ml

Glacial acet ic ac id 1 .0 ml

Mix well, label wit h init ial and

date. Solut ion is st able for 6

months.

Ca ut i o n: A v o i d c o n t a c t a nd i n ha l a t i o n.

1 % A c e t i c A c i d :

Glacial acet ic ac id 10 .0 mlDist i l led wat er 1000 .0 ml

Mix well, label wit h init ial and

dat e. Solut ion is st able f or 1 y ear.

Ca ut i o n: A v o i d c o n t a c t a nd i n ha l a t i o n.

SAFETY: Wear gloves, goggles and lab coat . Avoid cont act and inhalat ion

of dyes and chemicals.

Bouin's cont ains: formaldehyde, a known carcinogen, picric acid canbecome explosive when dry. Toxic by skin absorbt ion. Keep hot uncapped

Bouin’s under t he hood.

Phosphomolybdic, phosphotungsic acid powders, and acet ic acid solut ions

are skin and eye irrit ant s, and st rong corr osives.

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CONNECTIVE TISSUE

MA SSON’ S TRI CHROME Page: 3 of 4

PROCEDURE:

1. *Mordant in Bouin's solut ion, microwave 1 minute, allow to stand 15

minut es.

2. Wash in running t ap wat er to remove t he p icr ic ac id, 5 minutes.

3 . Weiger t ' s work ing hemat oxy lin , 10 minut es.

4 . Blue in running t ap wat er fo r 5 minutes , r inse in d ist i lled wat er.

5 . Biebr ich scar le t fo r 5 minu tes.

6 . Rinse in d ist il led wat er .

7. Phosphotungst ic/ phosphomolybdic acid for 10 minut es, discard

solut ion.

8 . Transfer di rect ly int o Ani line blue for 5 minutes .

9 . Rinse in d ist il led wat er .

10. 1% Acet ic acid for 1 minut e, discard solut ion, r inse in dist i lled wat er.11. Dehydrat e, clear, and coverslip.

*Convent ional met hod: Mordant in Bouin's solut ion, 60 °C f or 1 hour.

RESULTS:

Nuclei b lack

Cy t oplasm , muscle, ery t hrocy t es red

Collagen blue

NOTES:

1. Light green may be subst i tut ed for Ani line blue..

2. 5% phosphotungst ic acid for 5 minut es, must be subst itut ed when

using Light green.

3. When st aining liver biopsies, t he collagen is bett er light blue t han

dark blue.

REFERENCE:

Sheehan D, Hrapchak B, Theory and pract ice of Histot echnology, 2nd Ed,

19 80 , pp 18 9-1 90 , Batt elle Press, Ohio

Bancrof t J, St evens A, Theory and Pract ice of Histological Techniques, 2ndEd, 19 82 , pp 1 31 -13 5, Churchill-Livingst on, NY

Luna L, Manual of Histologic St aining Met hods of t he AFIP, 3rd Ed, 1968, pp

9 4 -9 5 , McGraw-Hil l, NY

Carson F, Histot echnology A Self-Inst ruct ional Text , 1st Ed, 19 90, pp

1 42 -1 4 3 , ASCP, I ll

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CONNECTIVE TISSUE

MA SSON’ S TRI CHROME Page: 4 of 4

Crookham,J, Dapson,R, Hazardous Chemicals in t he Hist opat hology

Laboratory, 2nd ED, 19 91, Anatech

Prepared: By:

Approved: By:Downloaded from WebPath: Internet Pathology Laboratory

htt p:/ / www-medlib.med.ut ah.edu/ WebPath/ webpat h.ht ml

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PROCEDURE CARD

TRI CHROME STA I N, MA SSON'S ( TRI ) - COLLA GEN Page 1 of 2

PROCEDURE:1. *Mordant in Bouin's solut ion, microwave 1 minut e, allow to stand 15 minutes.

2. Wash in running tap wat er t o remove t he picric acid, 5 minutes.

3. Weigert ' s work ing hematoxy lin , 10 minutes.4. Blue in running tap wat er for 5 minut es, rinse in dist i lled wat er.

5 . Biebr ich scar le t f or 5 minu tes.

6 . Rinse in dist i lled wat e r.

7. Phosphotungst ic/ phosphomolybdic acid for 10 minut es, discard solut ion.

8. Transfer di rect ly into Anil ine b lue for 5 minutes.

9 . Rinse in dist i lled wat e r.

10. 1% Acetic acid for 1 minute, discard solution, r inse in dist i l led wat er.

11. Dehydrat e, clear, and coverslip.

*Convent ional met hod: Mordant in Bouin's solut ion, 60 °C fo r 1 hour.

RESULTS:Nuclei black

Cytoplasm, muscle, erythrocytes red

Collagen blue

SAFETY/ PPE: Wear gloves, goggles and lab coat. Keep hot Bouin’s under t he fume hood.

We i g e r t ' s I r o n He m at o x y l i n

St o ck S ol u t i o n A :

Hemat oxylin 5.0 gm

95% alcohol 50 0 .0 ml

Mix well, label wit h init ial and date. Stablefor 1 year.

CAUTION: Fl amm abl e

St o c k So l u t i o n B :

2 9 % f erric chlor ide 2 0 .0 ml

Dist illed wat er 47 5 .0 ml

Hydrochloric acid 5 .0 ml

Mix well, label wit h init ial and date. Stable

for 1 year.

Wo r k i n g So l u t i o n

Solut ion A 2 5 .0 ml

Solut ion B 2 5 .0 ml

Mix well, solution will remain stable for 3 -

4 days.

Bo ui n ’ s Fi x a t i v e

CA UT I ON: Ca r c i n o ge ni c , i r r i t a n t ,

t o x i c .

B i e br i c h Sc a r l e t :

Biebrich scarlet 2.7 gm

Acid fuchsin 0.3 gm

Dist illed wat er 3 00 .0 ml

Glacial acet ic acid 3 .0 ml

Mix well, label with init ial and date. Solut ion

is st able for 6 mont hs.

CAUTI ON: Poss i b l e ca r c i nogen

Ph os p ho t u ng s t i c /  

Ph os p ho m ol y b di c A c i d So l u t i o n:

Phosphotungst ic acid 25 .0 gm

Phosphomolybdic acid 25.0 gm

Dist illed wat er 1 0 00 .0 ml

Mix well, label with init ial and date. Solut ion

is st able for 6 mont hs.

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PROCEDURE CARD

TRI CHROME STA I N, MA SSON'S ( TRI ) - COLLA GEN Page 2 of 2A n i l i n e B l u e :

Aniline blue 2.5 gm

Dist illed wat er 10 0 .0 ml

Glacial acet ic acid 1 .0 mlMix well, label with init ial and date. Solution

is st able for 6 mont hs.

1 % A c e t i c A c i d :

Glacial acet ic acid 1 0 .0 ml

Dist illed wat er 1 00 0 .0 ml

Mix well, label with init ial and date. Solutionis st able for 1 year.

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1 % ACETI C A CI D:

Glacial acet ic ac id 10 .0 ml

Dist i l led wat er 1000 .0 ml

Mix well, label wit h init ial and

date. Solution is st able f or 1 year.

Ca ut i o n: Sk i n an d e y e i r r i t a nt

DATE:

TECH:

EXPIRATION:

A NI LI NE BLUE:Aniline b lue 2.5 gm

Dist i l led wat er 100 .0 ml

Glacial acet ic ac id 1 .0 ml

Mix well, label wit h init ial and

date. Solut ion is stable for 6

months.

Ca ut i o n: A v o i d c on t a c t a nd i n h al a t i o n.

DATE:

TECH:

EXPIRATION:

ANI LI NE BLUE

DATE:

TECH:

BI EBRI CH SCARLET:

Biebr ich scar let 2.7 gm

Acid f uchsin 0.3 gm

Dist i l led wat er 300 .0 ml

Glacial acet ic acid 3 .0 ml

Mix well, label wit h init ial and

date. Solut ion is st able for 6

months.

Ca ut i o n: A v o i d c on t a c t a nd i n h al a t i o n.

DATE:

TECH:

EXPIRATION:

BI EBRI CH SCARLET:

DATE:

TECH:

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PHOSPHOTUNGST I C/ 

PHOSPHOMOLYBDI C A CI D

SOLUT I ON:

Phosphot ungst ic acid 25 .0 gm

Phosphomolybdic acid 25.0 gm

Dist i l led wat er 1000 .0 ml

Mix well, label wit h init ial and

date. Solut ion is stable for 6

months.

Ca ut i o n: A v o i d c on t a c t a nd i n h al a t i o n.

DATE:

TECH:

EXPIRATION:

PHOPHOTUNGST I C / 

PHOSPHOMOLYBDI C A CI D:

DATE:

TECH:

WEI GERT' S I RON HEMAT OXYLI N:

St o c k So l u t i o n A :

Hemat oxy lin 5.0 gm

95% alcohol 100 .0 ml

Mix well, label wit h init ial anddate. St able for 1 year.

CAUTION: FLAMMABLE, avoid

cont act and inhalat ion

TECH:

DATE:

EXPIRATION:

WEI GERT’ S I RON HEMAT OXYLI N:

St o c k So l u t i o n B:

2 9 % f err ic chlor ide 20 .0 ml

Dist i l led wat er 475 .0 ml

Hydrochloric acid 5 .0 ml

Mix well, label wit h init ial and

date. St able for 1 year.

CAUTI ON: Co r r os i ve , avo i d con t ac t and

i n ha l a t i o n.

TECH:

DATE:

EXPIRATION:

WEI GERT' S HEMAT OXYLI N

DATE:

TECH: