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组织标记染料在手术及尸检标本病理检查中的应用

[Application of tissue-marking dyes for pathologic examination of surgical and autopsy specimens].

作者信息

Khramtsov A I, Khramtsova G F, Asaulenko Z P, Selentyeva A A, Spiridonov I N, Vorobyev R V, Kuzmin M N, Krivolapov Yu A

机构信息

Department of Pathology, Rosalind Franklin University, Chicago, USA.

Hematology/Oncology Section, University of Chicago, Chicago, USA.

出版信息

Arkh Patol. 2019;81(1):40-45. doi: 10.17116/patol20198101140.

Abstract

OBJECTIVE

To assess the applicability of imported tissue-marking dyes and the samples of experimental dyes and decorative acrylic paints to mark the resection margins of a surgical specimen.

MATERIAL AND METHODS

Three sets of tissue-marking dyes: 2 imported sets and 1 experimental set, each containing red, orange, yellow, green, blue, purple, and black dyes, and a set of decorative acrylic paints containing black, blue, light blue, green, yellow, ocher, orange, magenta, and purple dyes. The experimental dyes and imported ones were used to mark tonsillar fragments obtained at tonsillectomy. The set of experimental dyes and that of decorative acrylic paints were used to stain the fragments of autopsy specimens (the skeletal muscles, pancreas, and large bowel). The tissues obtained at autopsy were marked before and after fixation in 40% formalin for 30 min and 24 hours. The specimens were subjected to standard tissue processing. Paraffin blocks were cut into 5-μm sections that were stained with hematoxylin and eosin. To estimate resection margin marking, each specimen was examined by 7 researchers who independently assessed the covering ability of a dye and its color in the paraffin block and microslides.

RESULTS

All researchers correctly identified purple, black, and green colors from the three sets of dyes in the surgical tonsillar specimen. When examining the autopsy specimens, all the experts correctly recognized magenta and green decorative acrylic paints and black and blue experimental dyes. The time of fixation and the type of tissue did not affect the color of a dye in the paraffin block and tissue specimen.

CONCLUSION

Some of experimental dyes and decorative acrylic paints are highly competitive with imported tissue-marking dyes in their characteristics, are correctly recognized in the block and tissue specimen under a microscope, and can be proposed to mark the resection margins of the examined tissues.

摘要

目的

评估进口组织标记染料、实验染料样本及装饰性丙烯酸漆在标记手术标本切除边缘方面的适用性。

材料与方法

三组组织标记染料,两组进口的和一组实验用的,每组均包含红色、橙色、黄色、绿色、蓝色、紫色和黑色染料,以及一组装饰性丙烯酸漆,包含黑色、蓝色、浅蓝色、绿色、黄色、赭色、橙色、品红色和紫色染料。实验染料和进口染料用于标记扁桃体切除术中获取的扁桃体碎片。实验染料组和装饰性丙烯酸漆组用于对尸检标本(骨骼肌、胰腺和大肠)的碎片进行染色。尸检获取的组织在40%甲醛中固定30分钟和24小时前后进行标记。标本进行标准组织处理。石蜡块切成5μm切片,用苏木精和伊红染色。为评估切除边缘标记情况,7名研究人员对每个标本进行检查,他们独立评估染料在石蜡块和显微切片中的覆盖能力及其颜色。

结果

所有研究人员都能从手术扁桃体标本的三组染料中正确识别出紫色、黑色和绿色。在检查尸检标本时,所有专家都能正确识别品红色和绿色装饰性丙烯酸漆以及黑色和蓝色实验染料。固定时间和组织类型不影响石蜡块和组织标本中染料的颜色。

结论

一些实验染料和装饰性丙烯酸漆在特性上与进口组织标记染料具有高度竞争力,在显微镜下的石蜡块和组织标本中能被正确识别,可用于标记所检查组织的切除边缘。

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