Cellular pathology wk 5

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54 Terms

1
What is cytology?
Cytology is the science of cells.
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2
What is histology?
Histology is the science of tissue.
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3
Why are cytology and histology studied separately?
Cytology focuses on individual cells, while histology examines how cells relate to their neighbors and their surrounding connective tissue.
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4
What percentage of clinical decisions are based on pathology reports?
About 95% of all clinical decisions are made based on pathology reports.
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5
Do pathologists see patients in clinical settings?
No, pathologists do not see patients; they work with tissue samples.
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6
What is histopathology?
Histopathology is the diagnosis side of histology, focusing on tissue examination.
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7
What is the first step when receiving tissue samples?
The first step is fixation to preserve tissue morphology.
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8
What solution is commonly used for tissue fixation?
10% neutral buffered formalin, which is a 4% solution of formaldehyde.
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9
What happens to tissue when it is removed from the body?
It starts decaying, and cellular processes continue until the cells break down.
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10
What act governs the use of human tissue in pathology?
The Human Tissue Act.
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11
What is the main purpose of the Human Tissue Act?
It regulates the removal, storage, use, and disposal of human tissue to ensure informed consent.
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12
What does the pathology process include after fixation?
Dissection, sample selection, processing, embedding, section cutting, staining, and microscopy.
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13
What is the purpose of special stains in histology?
To identify specific structures within tissue that may indicate disease or abnormality.
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14
What do hematoxylin and eosin stains visualize in tissues?
Hematoxylin stains nuclei blue, while eosin stains other tissue components pink.
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15
What are monoclonal antibodies?
Monoclonal antibodies are identical antibodies made by clones of a single parent cell, specific to one epitope.
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16
What are polyclonal antibodies?
Polyclonal antibodies are produced by different types of immune cells and can bind to multiple epitopes.
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17
What is the process of antigen retrieval?
A method used to unmask antigenic sites by breaking protein cross-links formed during fixation.
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18
What is a positive control in immunohistochemistry?
A section known to contain the target antigen, used to verify that the staining worked.
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19
What is a negative control in immunohistochemistry?
A section that does not contain the target antigen, used to ensure there are no false positives.
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20
What is the purpose of using enzyme labels in immunohistochemistry?
They produce a visible signal upon reacting with substrates, allowing detection of specific antigens.
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21
What is the benefit of using the polymer-based immunohistochemistry technique?
It increases signal amplification while minimizing steric hindrance, improving detection of antigens.
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22
What type of microscopy is commonly used in histology?
Bright field microscopy.
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23
How does polarization microscopy differ from regular microscopy?
It uses polarizing filters to enhance contrast for birefringent substances.
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24
What can electron microscopy visualize?
It provides detailed images at the cellular and subcellular level, including organelles.
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25
What is the significance of diagnosing renal conditions with histology?
Histological examination can identify abnormalities within kidney tissue and guide treatment.
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26
What are commonly used special stains to identify fungi?
Periodic acid-Schiff (PAS) and silver stains.
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27
What is the main risk associated with using formaldehyde in histology?
It poses health risks, affecting mucous membranes and potentially causing lung scarring.
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28
What is the purpose of processing tissue samples after fixation?
To prepare them for sectioning and staining, ensuring they are firm enough to cut.
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29
What role do pathologists play in cancer diagnosis?
They examine tissue samples to identify the presence and type of cancer, guiding treatment options.
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30
What indicates a well-differentiated tumor?
It shows features close to normal tissue; poorly differentiated tumors appear disorganized.
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31
What three factors can inform the diagnosis of tissue samples?
Histological appearance, immunohistochemical staining results, and clinical history.
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32
What is the typical thickness of sections cut for histological examination?
Three microns.
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33
How is fixation beneficial in histology?
It preserves tissue morphology and prevents decay, allowing accurate diagnoses.
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34
Why must hematoxylin be differentiated in staining?
To ensure only the nuclei are stained, allowing clear visibility of cellular structures.
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35
What is the importance of tracking systems in histology labs?
To monitor and organize samples throughout the various processing stages.
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36

What is the significance of using ER and PR antibodies in breast tumors?

ER (estrogen receptor) and PR (progesterone receptor) antibodies are used to determine if tumors are hormone-dependent, allowing treatments like tamoxifen to block estrogen and reduce tumor growth in ER positive patients.

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37

What is tamoxifen and who can benefit from it?

Tamoxifen is a drug used to block estrogen in patients with estrogen receptor (ER) positive breast tumors, but it is not suitable for every patient due to potential side effects.

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38

What is Herceptin, and how does it work in breast cancer treatment?

Herceptin is a drug used to target HER2 growth receptors that are overexpressed in certain breast cancers, helping to inhibit tumor growth in patients with genetic predisposition to HER2 overexpression.

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39

What are the primary markers tested in breast tissue to guide treatment decisions?

The primary markers include ER, PR, and HER2, which help determine the best treatment options based on the tumor's characteristics.

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40

How has the role of histology evolved in breast cancer diagnosis and treatment?

Histology has evolved from merely diagnosing breast tumors to also assessing prognostic markers to predict treatment responses and monitor disease progression.

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41

What is the primary purpose of using the Prussian blue stain in liver biopsies?

The Prussian blue stain is used to identify iron deposits in liver tissue, as it reacts with iron to produce a bluish color.

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42

What tissue structures are visible in a liver biopsy?

A liver biopsy shows thin cores of tissue with cells lining up, as well as triads of connective tissue and three vessels within the liver.

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43

What condition is associated with abnormal iron deposits in the liver?

Hemochromatosis, a condition where excess iron accumulates in organs and skin.

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44

Why is it important to control iron levels in the body?

Iron is toxic to the body in excess, and uncontrolled deposition can lead to serious health conditions.

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45

What physical sign may indicate hemochromatosis?

A bronzed skin appearance can indicate excessive iron storage in the body.

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46

What are poorly differentiated carcinomas?

Poorly differentiated carcinomas are tumor cells that do not show normal differentiation, behaving more like immature stem cells and displaying aggressive growth patterns.

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47

What does it mean for a tumor to be well differentiated?

A well differentiated tumor is one that retains normal cell functions and morphology, indicating a slower growth rate and more mature characteristics.

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48

From what tissue do carcinomas arise?

Carcinomas arise from epithelial tissue, which can be categorized as squamous or glandular.

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49

What is differentiation in the context of epithelial tissues?

Differentiation refers to the process where stem cells mature into specialized cells, taking on specific functions before they die.

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50

How do tumors vary in growth behavior based on their differentiation?

Well differentiated tumors grow slowly and behave normally, while poorly differentiated tumors grow rapidly and often do not reach maturity, resembling stem cells.

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51

What is the function of the elastic van Giesen stain?

The elastic van Giesen stain is used to demonstrate elastin and collagen in tissue samples, with red blood cells separated out by the van Giesen solution.

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52

What color does the stain for carbohydrates, including glycogen, appear?

The stain for carbohydrates, including glycogen, appears pink.

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53

How can glycogen be conclusively identified in tissue?

Glycogen can be conclusively identified by using an enzyme technique with amylase, which digests glycogen out of the cells.

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54

What happens to the staining results after amylase treatment on glycogen-containing tissue?

After amylase treatment on glycogen-containing tissue, the staining results become negative, confirming the presence of glycogen.

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