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Presented by – RAJIV KUMAR
Moderated by – Dr. PREM SINGH
Preparation
 Dissolve 0.2 g of powdered Leishman’s dye in 100 ml of
acetone-free methyl alcohol in a conical flask.
 Warm it to 50°C for half an hour with occasional shaking.
 Cool it and filter it.
 Giemsa stain – add 1:9 dilution (distilled water and
Giemsa)
Procedure for staining
 Pour Leishman’s stain drop wise (counting the drops) on the
slide and wait for 2 minutes. This allows fixation of the PBF
in methyl alcohol.
 Add double the quantity of buffered water(PH 6.8) drop wise
over the slide (i.e. double the number of drops).
 Add Giemsa stain in 4 to 5 drops and mix.
 Mix by rocking for 8 minutes.
 Wash in water for 1 to 2 minutes.
 Dry in air and examine under oil immersion lens of the
microscope.
AFTER STAINING
The Hematoxylin and Eosin stain is the most
widely used histological stain because……
 Its comparative simplicity
 Ability to demonstrate clearly an enormous
number of different tissue structures.
 The hematoxylin stains cell nuclei blue / black
 Eosin stains cell cytoplasm and most connective
tissue fibers.
 Principle
 H and E are principle stain for demonstration of nucleus
and cytoplasm.
 Alum acts as a mordant and the hematoxylin containing
alum stains the nucleus light blue which turns red in the
presence of acid.
 The cell differentiation is achieved by treating the tissue
with acid solution. The counterstaining is performed
using eosin which imparts pink color to cytoplasm
 Ingredients :
 Hematoxylin - 5gm
 Absolute alcohol -50ml
 Ammonium alum -100gm
 Distilled water -1000ml
 Mercuric oxide - 2.5gm
 Glacial acetic acid - 40ml
 Dissolve the hematoxylin in absolute alcohol
and ammonium alum
 in hot water. Mix the two solutions and heat
to boiling. Remove from flame, and
 add mercuric oxide and cool rapidly. Glacial
acetic acid if added gives brisk
 nuclear staining, but life of the solution is
reduced. Hence if acetic acid is to be
 added, it should be added in working
solution.
 Ingredients
 Hematoxylin 1.0gm
 Distilled water 1000ml
 Ammonium alum 50gm
 Sodium iodate 0.2gm
 Citric acid (reduces pH) 1.0gm
 Chloral hydrate (preservative) 50gm
 Method - Hematoxylin is dissolved in distilled water using gentle
heat. Then
 alum is added and dissolved. Then sodium iodate, citric acid and
chloral hydrate
 are added respectively.
 Eosin is used as the counterstain that stains the
cytoplasm rose coloured. The
 intensity of the eosin is individual choice. The most
widely used eosin is “eosin
 Y”. The “Y” stands for yellowish. It is available in
either water soluble or alcohol
 soluble form. Most laboratories use the water soluble
form of eosin Y in an
 alcohol-water solution which is described here.
 Eosin Y (water soluble) 1.0gm
 Distilled water 80ml
 95% alcohol 320ml
 Glacial acetic acid 0.4ml
 Dissolve eosin in water and then add this to
95% alcohol (one part eosin solution with 4
parts alcohol). To the final mixture add a few
drops of acetic acid (0.4ml). The acetic acid
increases the staining intensity of eosin.
When ready to use, the stain should be
cloudy; if clear, add a few drops of the acetic
acid. The solution should be standardized by
staining the control slides.
 1. Deparaffinize sections in xylene, 10-20
minutes. Filter Hematoxylin.
 2. Rehydrate sections:
 100% alcohol for 1-2 minutes
 95% alcohol for 1-2 minutes
 3. Rinse in tap water
 4. Rinse in distilled water
 5. Stain with Hematoxylin for 3-5 minutes
 6. Wash in tap water
 7. Differentiate section with 1% HCl in 70%
alcohol 1-2 dips and check under
 microscope. If necessary, return slides to HCl for
further differentiation.
 8. Wash slides in running tape water for 15
minutes
 9. Stain slides in Eosin for 1-4 minutes
 10. Dehydration and Differentiation:
 95% alcohol 5-6 dips
 100% alcohol 5-6 dips
 11. Clear slides in xylene 2 times
 12. Mount slides with mounting media (Permount
or DPX
 Removal of paraffin wax (Deparaffinization)
◦ Removed with xylene (impermeable to stains)
◦ 2-3min of xylene immersion sufficient for sections of
10 µ thickness
◦ First facilitated by warming the slides at 60 degrees
oven to melt the wax
 Removal of xylene
◦ Xylene is not miscible with water or low grade
alcohols, hence dipped in two changes of absolute
alcohol
 Hydration(High to low)
 After removal from xylene sections are transferred to
absolute alcohol for 1-2min until it becomes opaque
 Sections rinsed in second bath of alcohol, drained and taken
to water
 Any pigments or deposits should be removed at this stage
 Staining
◦ Slides immersed in hematoxylin (Mayer s,
Harris, Gills)
◦ If regressive stain is used longer time is used
to over stained the structures
 Differentiation
◦ Sections are dipped in Acid alcohol, agitated
and washed in tap water
 Observed under microscope
◦ If underdifferentiated- returned to acid
alcohol
◦ If overdifferentiaited – returned to
hematoxylin and differentiated again
 Blueing
◦ Slides after draining off hematoxylin is transferred to
ammonia water for 2 min. Sections when removed from
hematoxylin or acid alcohol are pink in color.
◦ Washing turns them blue.
 Counterstain(Eosin)
◦ Transfer the slides to 1% aqueous Eosin for 30 sec. Wash
in running water.
 Dehydration( low to high)
 Slides are taken through 3 stages of Alcohol.
11. Clearing
◦ Sections transferred to xylene and left until clear.
◦ Tested for clarity by being held against a dark background.
12. Mounting
◦ Surplous xylene wiped off from slide surface.
◦ This step completed quickly to avoid section drying.
◦ Whole operation takes 5-10 seconds.
 Results
 Cell nuclei – Blue
 Muscle fibers – Red
 Collagen fibers – Pink
 RBC – Bright red
 Hematoxylin (Mayer's) is recommended for
Immunohistochemical and cytochemical
Staining (as Nuclear Counter Stain) (PAS
Staining Procedure). It may also be used for
routine Hematoxylin and Eosin Staining.
Periodic Acid Schiff
Periodic acid + Glycogen
oxidation > Aldehyde + Schiff reagent
(para-rosaniline, Na
metabisulfite)
> Red deposit
 Periodic acid specifically oxidizes 1–2 glycol
groups to produce stable dialdehydes.
 These dialdehydes give a red reaction product
when exposed to Schiff's reagent (leucobasic
fuchsin).
 In haemopoietic cells, the main source of
positive reactions is glycogen.
Reagents
1) Fixative . Methanol
2) Schiff’s reagents
3) Counter stain . Aqueous hematoxylin
 Test for Schiff reagent: Pour 10 ml of 37%
formalin into a watch glass.
 To this add a few drops of the Schiff reagent
to be tested. A good Schiff reagent will
rapidly turn a red-purple color.
 A deteriorating schiff reagent will give a
delayed reaction and the color produced will
be a deep blue-purple
Periodic acid–Schiff stain.
A: Dysplastic micro megakaryocytes with diffuse cytoplasmic
staining and some coarse granules;
B: Dyerythropoiesis with diffuse staining in a tri nucleate
normoblast and coarse granular and diffuse staining in a pro
erythroblast.
C: Acute lymphoblastic leukemia with blasts showing block
positivity
The reaction product is red, with intensity ranging from pink to bright red .
Stains Include:-
 Nuclear staining: Hematoxylin
 Two cytoplasmic counter staining:
• Orange G (OG)-6, OG-5 and OG-8 is acidic
dye, stains keratin a bright, intense orange.
• Eosin Azure (EA) , EA-36,EA-50 Including
three stains-
-Eosin Y
-Light Green
-Bismarek Brown Y
 Principle :
 Papanicolaou staining is applied to vaginal
exudates for the detection of uterine or vaginal
cancer. The technique uses a high number of dyes
in its procedure.
 • Hematoxylin: is the chosen nuclear staining,
basically allows to reveal the nuclei of the cells
present in the sample. Harris Hematoxylin is
usually used.
 • Orange G: is a synthetic acid dye that reveals
basic compounds such as prequeratine (that stains
pink) or keratin (that stains bright orange).
 • Yellowish Eosin: stains cytoplasm of
mature squamous cells, hair cells and
erythrocytes into pink-orange.
 • Green SF Yellowish light: stains squamous
non-superficial cells (immature or partially
mature) into greenish-blue.
 • Bismark Brown R: does not stain the
cellular cytoplasm but does mucin.
 • Phosphotungstic acid: has a mordant
function, especially important for Green
Light SF
 Procedure
 1. Fix the sample with spray.
 2. Submerge successively in alcohol 80%,
alcohol 70%, alcohol 50% and water, 1
minute in each liquid.
 3. Stain with Hematoxylin Harris solution
for approximately 5 minutes.
 4. Immerse in water 6 times for 1 second.
 5. Submerge in 0.5% Hydrochloric Acid, 8
times for 1 second.
 6. Rinse with tap water for 5 minutes, and
pass the sample through successive grade
alcohols, 50%, 70%, 80% and 96% for 30
seconds in each of them.
 7. Stain with Pap Smear or OG 6 for 1 to 1.5
minutes.
 8. Wash the excess dye in two 96% Ethanol
baths by immersing the preparation 2 times
in each of 3 to 4 seconds.
 9. Stain with Pap Smear or EA 50 for 1.5 to 2 minutes.
 10. Wash in 3 different containers of Ethanol 96% v / v
by immersing the preparation 2 times of 3 to 4 seconds
in each of them.
 11. Wash in absolute ethanol for 30 seconds.
 12. Immerse the preparation for 4 minutes in a 1: 1
bath of Xylene, mixture of isomers and absolute
ethanol.
 13. Rinse with Xylene, mixture of isomers by immersing
the preparation for 3 minutes in a bath.
 14. Mount with Mounting medium DPX
 15. Observe under a microscope.
 Choice of fixative and technique is
dependent on specimen types analyzed in the
laboratory. The stains offered are suitable for
both Gyn (EA-36, EA-50) and Non-Gyn (EA-
50, EA-65) specimens as determined by the
user.
dr. monika nema
 PRINCIPLE
This method is a modified version of the original
Giemsa technique used for hematological smears
and gives good results for sections.
 Giemsa is a Romanowsky stain which contains
azure B and eosin Y and is capable of making
subtle distinction in shades of staining.
 The acidic groupings of the nucleic acids and
proteins of the cell nuclei determine their uptake of
the basic dye azure B and the presence of basic
groupings result in an affinity for acidic dyes and
their staining by eosin.
Contents-
 Harris’s Hematoxylin
 Orange G6
 E A 50
 Hematoxylin (Harris) is used for general purpose
nuclear stain and for histological studies
 Composition
Ingredients
 Hematoxylin -5.000 gm
 Ammonium or potassium alum - 100.000 gm
 Mercuric oxide -2.500 gm
 Alcohol 95% -50.000 ml
 Distilled water -1000.000 ml
 It is a multichromatic cytological stain
 Composition
 Ingredients
 Orange G-6 Certified -0.3 gm
 Phosphotungstic acid -0.015gm
 Denatured alcohol -100.0ml
 Papanicolau-EA-50 is use for routine diagnostic
cytology to aid in the identification and classification
of exfoliative cells.
 Composition
 Ingredients
 Eosin Y Certified - 0.23gm
 Bismark Brown Certified - 0.05gm
 Fast green FCF Certified - 0.08gm
 Phosphotungstic acid - 0.2gm
 Denatured alcohol - 100.0ml
 It can be used for histopathological diagnosis
of malaria and some other spirochete
protozoan, and blood parasites.
Results
 Micro-organism, fungi - purplish-blue
parasites
 Nuclei- blue to violet
 Erythrocytes- salmon pink
 cytoplasm - light blue
 Collagen, muscle and bone - pale pink
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Staining ( rouine and special in cytology) rajiv kumar

  • 1. Presented by – RAJIV KUMAR Moderated by – Dr. PREM SINGH
  • 2.
  • 3.
  • 4. Preparation  Dissolve 0.2 g of powdered Leishman’s dye in 100 ml of acetone-free methyl alcohol in a conical flask.  Warm it to 50°C for half an hour with occasional shaking.  Cool it and filter it.  Giemsa stain – add 1:9 dilution (distilled water and Giemsa) Procedure for staining  Pour Leishman’s stain drop wise (counting the drops) on the slide and wait for 2 minutes. This allows fixation of the PBF in methyl alcohol.  Add double the quantity of buffered water(PH 6.8) drop wise over the slide (i.e. double the number of drops).  Add Giemsa stain in 4 to 5 drops and mix.  Mix by rocking for 8 minutes.  Wash in water for 1 to 2 minutes.  Dry in air and examine under oil immersion lens of the microscope.
  • 6. The Hematoxylin and Eosin stain is the most widely used histological stain because……  Its comparative simplicity  Ability to demonstrate clearly an enormous number of different tissue structures.  The hematoxylin stains cell nuclei blue / black  Eosin stains cell cytoplasm and most connective tissue fibers.
  • 7.  Principle  H and E are principle stain for demonstration of nucleus and cytoplasm.  Alum acts as a mordant and the hematoxylin containing alum stains the nucleus light blue which turns red in the presence of acid.  The cell differentiation is achieved by treating the tissue with acid solution. The counterstaining is performed using eosin which imparts pink color to cytoplasm
  • 8.  Ingredients :  Hematoxylin - 5gm  Absolute alcohol -50ml  Ammonium alum -100gm  Distilled water -1000ml  Mercuric oxide - 2.5gm  Glacial acetic acid - 40ml
  • 9.  Dissolve the hematoxylin in absolute alcohol and ammonium alum  in hot water. Mix the two solutions and heat to boiling. Remove from flame, and  add mercuric oxide and cool rapidly. Glacial acetic acid if added gives brisk  nuclear staining, but life of the solution is reduced. Hence if acetic acid is to be  added, it should be added in working solution.
  • 10.  Ingredients  Hematoxylin 1.0gm  Distilled water 1000ml  Ammonium alum 50gm  Sodium iodate 0.2gm  Citric acid (reduces pH) 1.0gm  Chloral hydrate (preservative) 50gm  Method - Hematoxylin is dissolved in distilled water using gentle heat. Then  alum is added and dissolved. Then sodium iodate, citric acid and chloral hydrate  are added respectively.
  • 11.  Eosin is used as the counterstain that stains the cytoplasm rose coloured. The  intensity of the eosin is individual choice. The most widely used eosin is “eosin  Y”. The “Y” stands for yellowish. It is available in either water soluble or alcohol  soluble form. Most laboratories use the water soluble form of eosin Y in an  alcohol-water solution which is described here.  Eosin Y (water soluble) 1.0gm  Distilled water 80ml  95% alcohol 320ml  Glacial acetic acid 0.4ml
  • 12.  Dissolve eosin in water and then add this to 95% alcohol (one part eosin solution with 4 parts alcohol). To the final mixture add a few drops of acetic acid (0.4ml). The acetic acid increases the staining intensity of eosin. When ready to use, the stain should be cloudy; if clear, add a few drops of the acetic acid. The solution should be standardized by staining the control slides.
  • 13.  1. Deparaffinize sections in xylene, 10-20 minutes. Filter Hematoxylin.  2. Rehydrate sections:  100% alcohol for 1-2 minutes  95% alcohol for 1-2 minutes  3. Rinse in tap water  4. Rinse in distilled water  5. Stain with Hematoxylin for 3-5 minutes  6. Wash in tap water
  • 14.  7. Differentiate section with 1% HCl in 70% alcohol 1-2 dips and check under  microscope. If necessary, return slides to HCl for further differentiation.  8. Wash slides in running tape water for 15 minutes  9. Stain slides in Eosin for 1-4 minutes  10. Dehydration and Differentiation:  95% alcohol 5-6 dips  100% alcohol 5-6 dips  11. Clear slides in xylene 2 times  12. Mount slides with mounting media (Permount or DPX
  • 15.  Removal of paraffin wax (Deparaffinization) ◦ Removed with xylene (impermeable to stains) ◦ 2-3min of xylene immersion sufficient for sections of 10 µ thickness ◦ First facilitated by warming the slides at 60 degrees oven to melt the wax  Removal of xylene ◦ Xylene is not miscible with water or low grade alcohols, hence dipped in two changes of absolute alcohol
  • 16.  Hydration(High to low)  After removal from xylene sections are transferred to absolute alcohol for 1-2min until it becomes opaque  Sections rinsed in second bath of alcohol, drained and taken to water  Any pigments or deposits should be removed at this stage
  • 17.  Staining ◦ Slides immersed in hematoxylin (Mayer s, Harris, Gills) ◦ If regressive stain is used longer time is used to over stained the structures  Differentiation ◦ Sections are dipped in Acid alcohol, agitated and washed in tap water  Observed under microscope ◦ If underdifferentiated- returned to acid alcohol ◦ If overdifferentiaited – returned to hematoxylin and differentiated again
  • 18.  Blueing ◦ Slides after draining off hematoxylin is transferred to ammonia water for 2 min. Sections when removed from hematoxylin or acid alcohol are pink in color. ◦ Washing turns them blue.  Counterstain(Eosin) ◦ Transfer the slides to 1% aqueous Eosin for 30 sec. Wash in running water.  Dehydration( low to high)  Slides are taken through 3 stages of Alcohol.
  • 19. 11. Clearing ◦ Sections transferred to xylene and left until clear. ◦ Tested for clarity by being held against a dark background. 12. Mounting ◦ Surplous xylene wiped off from slide surface. ◦ This step completed quickly to avoid section drying. ◦ Whole operation takes 5-10 seconds.
  • 20.  Results  Cell nuclei – Blue  Muscle fibers – Red  Collagen fibers – Pink  RBC – Bright red
  • 21.  Hematoxylin (Mayer's) is recommended for Immunohistochemical and cytochemical Staining (as Nuclear Counter Stain) (PAS Staining Procedure). It may also be used for routine Hematoxylin and Eosin Staining.
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  • 23. Periodic Acid Schiff Periodic acid + Glycogen oxidation > Aldehyde + Schiff reagent (para-rosaniline, Na metabisulfite) > Red deposit
  • 24.  Periodic acid specifically oxidizes 1–2 glycol groups to produce stable dialdehydes.  These dialdehydes give a red reaction product when exposed to Schiff's reagent (leucobasic fuchsin).  In haemopoietic cells, the main source of positive reactions is glycogen. Reagents 1) Fixative . Methanol 2) Schiff’s reagents 3) Counter stain . Aqueous hematoxylin
  • 25.  Test for Schiff reagent: Pour 10 ml of 37% formalin into a watch glass.  To this add a few drops of the Schiff reagent to be tested. A good Schiff reagent will rapidly turn a red-purple color.  A deteriorating schiff reagent will give a delayed reaction and the color produced will be a deep blue-purple
  • 26. Periodic acid–Schiff stain. A: Dysplastic micro megakaryocytes with diffuse cytoplasmic staining and some coarse granules; B: Dyerythropoiesis with diffuse staining in a tri nucleate normoblast and coarse granular and diffuse staining in a pro erythroblast. C: Acute lymphoblastic leukemia with blasts showing block positivity The reaction product is red, with intensity ranging from pink to bright red .
  • 27. Stains Include:-  Nuclear staining: Hematoxylin  Two cytoplasmic counter staining: • Orange G (OG)-6, OG-5 and OG-8 is acidic dye, stains keratin a bright, intense orange. • Eosin Azure (EA) , EA-36,EA-50 Including three stains- -Eosin Y -Light Green -Bismarek Brown Y
  • 28.  Principle :  Papanicolaou staining is applied to vaginal exudates for the detection of uterine or vaginal cancer. The technique uses a high number of dyes in its procedure.  • Hematoxylin: is the chosen nuclear staining, basically allows to reveal the nuclei of the cells present in the sample. Harris Hematoxylin is usually used.  • Orange G: is a synthetic acid dye that reveals basic compounds such as prequeratine (that stains pink) or keratin (that stains bright orange).
  • 29.  • Yellowish Eosin: stains cytoplasm of mature squamous cells, hair cells and erythrocytes into pink-orange.  • Green SF Yellowish light: stains squamous non-superficial cells (immature or partially mature) into greenish-blue.  • Bismark Brown R: does not stain the cellular cytoplasm but does mucin.  • Phosphotungstic acid: has a mordant function, especially important for Green Light SF
  • 30.  Procedure  1. Fix the sample with spray.  2. Submerge successively in alcohol 80%, alcohol 70%, alcohol 50% and water, 1 minute in each liquid.  3. Stain with Hematoxylin Harris solution for approximately 5 minutes.  4. Immerse in water 6 times for 1 second.
  • 31.  5. Submerge in 0.5% Hydrochloric Acid, 8 times for 1 second.  6. Rinse with tap water for 5 minutes, and pass the sample through successive grade alcohols, 50%, 70%, 80% and 96% for 30 seconds in each of them.  7. Stain with Pap Smear or OG 6 for 1 to 1.5 minutes.  8. Wash the excess dye in two 96% Ethanol baths by immersing the preparation 2 times in each of 3 to 4 seconds.
  • 32.  9. Stain with Pap Smear or EA 50 for 1.5 to 2 minutes.  10. Wash in 3 different containers of Ethanol 96% v / v by immersing the preparation 2 times of 3 to 4 seconds in each of them.  11. Wash in absolute ethanol for 30 seconds.  12. Immerse the preparation for 4 minutes in a 1: 1 bath of Xylene, mixture of isomers and absolute ethanol.  13. Rinse with Xylene, mixture of isomers by immersing the preparation for 3 minutes in a bath.  14. Mount with Mounting medium DPX  15. Observe under a microscope.
  • 33.  Choice of fixative and technique is dependent on specimen types analyzed in the laboratory. The stains offered are suitable for both Gyn (EA-36, EA-50) and Non-Gyn (EA- 50, EA-65) specimens as determined by the user.
  • 35.  PRINCIPLE This method is a modified version of the original Giemsa technique used for hematological smears and gives good results for sections.  Giemsa is a Romanowsky stain which contains azure B and eosin Y and is capable of making subtle distinction in shades of staining.  The acidic groupings of the nucleic acids and proteins of the cell nuclei determine their uptake of the basic dye azure B and the presence of basic groupings result in an affinity for acidic dyes and their staining by eosin.
  • 37.  Hematoxylin (Harris) is used for general purpose nuclear stain and for histological studies  Composition Ingredients  Hematoxylin -5.000 gm  Ammonium or potassium alum - 100.000 gm  Mercuric oxide -2.500 gm  Alcohol 95% -50.000 ml  Distilled water -1000.000 ml
  • 38.  It is a multichromatic cytological stain  Composition  Ingredients  Orange G-6 Certified -0.3 gm  Phosphotungstic acid -0.015gm  Denatured alcohol -100.0ml
  • 39.  Papanicolau-EA-50 is use for routine diagnostic cytology to aid in the identification and classification of exfoliative cells.  Composition  Ingredients  Eosin Y Certified - 0.23gm  Bismark Brown Certified - 0.05gm  Fast green FCF Certified - 0.08gm  Phosphotungstic acid - 0.2gm  Denatured alcohol - 100.0ml
  • 40.  It can be used for histopathological diagnosis of malaria and some other spirochete protozoan, and blood parasites. Results  Micro-organism, fungi - purplish-blue parasites  Nuclei- blue to violet  Erythrocytes- salmon pink  cytoplasm - light blue  Collagen, muscle and bone - pale pink

Notas del editor

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