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Vocabulary flashcards covering key histology and cytology concepts from the lecture notes.
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Anatomic Pathology
The branch of pathology that involves the laboratory examination of tissue samples from the body for diagnostic purposes.
Cytopathology
Diagnosis based on characteristics of cells; analysis focuses on cells rather than whole tissues.
Histopathology (Histology)
The study of diseased tissues under the microscope; examination of tissue sections to diagnose disease.
Morphologic features
Structural characteristics of cells or tissues used to assess disease.
Glass slide
A flat glass surface on which stained tissue/cells are mounted for microscopic examination.
Pathologist
Medical doctor who interprets histology slides and makes diagnostic conclusions.
Medical laboratory technician
Lab staff who prepare specimens, stain, cover-slip, and file.
Accessioning
Receiving, labeling, and assigning a unique accession number to specimens.
Specimen
Biological material (tissue, cells) collected for testing.
Requisition
Form accompanying a specimen detailing patient information and tissue type.
PPE (Personal Protective Equipment)
Protective gear used to prevent exposure to hazards (gloves, gown, goggles).
WHMIS
Workplace Hazardous Materials Information System; safety labeling and data for hazards.
Sharps
Items capable of puncturing skin (needles, scalpels) requiring safe disposal.
Spill containment
Procedures to control and clean hazardous material spills.
Laboratory safety devices
Safety features like eyewash stations and safety showers used in labs.
Ergonomics in histology
Principles to prevent injury through proper workstation design and posture.
Histology department
Lab section that processes tissue samples for microscopic analysis.
Histotechnologist
Technologist who prepares samples (fixation, embedding, staining) for pathologists.
Special stains
Stains used to highlight specific cell components beyond routine H&E.
Surgical specimen
Tissue obtained from surgery for microscopic examination.
Autopsy specimen
Tissue obtained during autopsy for diagnosis or teaching.
Biopsy
Excision of a small tissue sample for diagnosis.
Amputation specimen
Tissue removed during amputation used for diagnosis.
Large partial organ
Partial organ specimen submitted for analysis.
FFPE
Formalin-fixed paraffin-embedded; tissue preserved and embedded for sectioning.
Fixation
Process of preserving tissue by halting biological activity and stabilizing structure.
Dehydration
Removal of water from tissue using alcohol.
Clearing
Replacing dehydrant with a solvent (e.g., xylene) to prepare for embedding.
Infiltration
Penetration of tissue with embedding medium (paraffin).
Embedding
Incorporation of tissue into paraffin to form blocks for sectioning.
Sectioning
Cutting thin tissue slices (typically 3–5 μm) from paraffin blocks.
Paraffin
Wax used to embed tissue during histology.
FFPE block
A paraffin block containing formalin-fixed tissue for sectioning.
H&E
Hematoxylin and eosin stain; standard histology stain.
Fixative
Chemical solution used to preserve tissue by fixing its structure.
Formalin
A solution of formaldehyde in water; common fixative.
10% Neutral Buffered Formalin (NBF)
Standard fixative; 3.7–4% formaldehyde; buffered to neutral pH.
Ischemic time
Time from tissue removal to placement in fixative; shorter is better.
Fixative volume ratio
Fixative volume should be 15–20 times the tissue volume for proper penetration.
Chemical fixation
Preservation by chemical agents that denature proteins.
Physical fixation
Fixation by physical means such as heating or microwaving.
Microwave fixation
Rapid, microwave-assisted fixation of tissue.
Temperature effect on fixation
Higher temperatures increase fixation rate; common range includes 0–4°C historically and room temperature in practice.
pH of fixative
pH affects preservation; buffered around 7.2–7.4 for certain applications.
Tissue size
Larger tissues fix more slowly due to slower fixative penetration.
Immersion fixation
Submerging tissue in fixative for preservation.
Perfusion fixation
Fixation by circulating fixative through tissue via vessels.
Formalin pigment
Acid hematin pigment formed when formalin becomes too acidic; removed with alcoholic picric acid.
Mercury pigment
Dark pigment caused by mercury in fixatives; removed with alcoholic iodine and sodium thiosulfate.
Chrome pigment
Pigment related to chromium; removed by running tap water.
Zenker's fluid
Fixative containing mercuric chloride; excellent nuclear/cytoplasmic staining but highly toxic.
Bouin's fluid
Fixative containing picric acid; good for glycogen demonstration but explosive hazards.
Brasil's alcoholic picro-form fixative
Routine fixative for surgical specimens; glycogen demonstration; contains picric acid.
Picric acid
Explosive fixative component used in Bouin’s and Brasil’s fixatives; hazardous.
Osmium tetroxide
Fixative for lipids and electron microscopy; highly toxic.
Glutaraldehyde
Crosslinking fixative used for ultrastructural preservation.
Ethanol
Alcohol fixative; primary fixing agent in some protocols.
Acetic acid
Acidic component of some fixatives.
Potassium dichromate
Chromium-containing fixative component.
Formaldehyde
Gas used to fix tissues; commonly converted to formalin for solution.
Paraformaldehyde
Polymerized form of formaldehyde used in some fixatives.
Fixative safety
Handling requires PPE, ventilation, and proper procedures due to hazards.
Fume hood
Ventilated cabinet to remove hazardous fumes (e.g., formaldehyde).
Carcinogenic nature of formaldehyde
Formaldehyde is a known carcinogen; handle in a fume hood.
Autolysis
Self-digestion of cells by endogenous enzymes after death.
Putrefaction
Decomposition of tissue by bacterial activity after death.
Denaturation of proteins
Fixatives alter proteins by breaking their structured state.
Gel formation
Hardening of tissue into a gel-like state during fixation.
Fixed specimen
Specimen that has been preserved by fixation.
Unfixed specimen
Specimen not yet fixed; vulnerable to degradation.
4°C storage
Refrigeration to slow degradation of non-fixed tissues.
Tissue processing
Sequence: fixation, dehydration, clearing, infiltration, embedding before embedding.
Rotary microtome
Instrument that cuts thin sections from paraffin-embedded tissue blocks.
Paraffin sections
Thin tissue slices cut from paraffin blocks for mounting on slides.
H&E staining
Routine stain; hematoxylin colors nuclei blue; eosin colors cytoplasm pink.
Requisition information
Details required on requisition: patient name, date, tissue type, site, location.
Surgical number
Unique surgical identifier assigned to a specimen.
Accession log
Daily log recording specimens and their accession numbers.
Specimen rejection policy
Written policy outlining submission rules, minimum volumes, container types, and requisitions.
Labeling
Proper labeling of specimens and requisitions is required.
Incomplete requisition
Missing information; grounds for specimen rejection.
Incorrect fixative
Using the wrong fixative leads to specimen rejection.
No fixative
Specimens arriving unfixed can be rejected.
Leaking containers
Leaking containers lead to specimen rejection for safety and integrity.
Small container
Container too small for the specimen; rejection.
Priority specimen
Specimens designated with higher urgency (emergency, STAT, ASAP, routine).
Emergency Department immediate
NOW priority; emergency results required immediately.
STAT
Turnaround time of 1 hour for urgent specimens.
ASAP
Turnaround time of approximately 4 hours for urgent specimens.
Routine
Turnaround time of about 24 hours for standard specimens.
TDG packaging
Packaging requirements for transporting dangerous goods.
Rigid leak-proof container
Primary, leak-proof container for specimen transport.
Absorbent material
Material inside packaging to absorb potential leaks.
Secondary leak-proof container
Leak-proof secondary container to prevent leaks during transport.
Outer container
Exterior packaging protecting internal containers.
Dry ice packaging
When using dry ice, do not seal the secondary container; place dry ice between containers.
Fixed specimen handling
Procedures for handling specimens that have been fixed.
Unfixed specimen handling
Procedures for handling specimens not yet fixed.
Reagent handling
Safe handling and use of common histology reagents.
SDS (Safety Data Sheets)
Documents detailing hazards and handling of chemicals.