From the Division of Surgical Pathology & Cytopathology, University of Virginia Medical Center, Charlottesville, VA, United States.
Semin Diagn Pathol. 2019 Sep;36(5):303-311. doi: 10.1053/j.semdp.2019.06.003. Epub 2019 Jun 4.
Accuracy in morphological diagnosis is the cornerstone of anatomic pathology. Proficiency with the microscope offers values to the health care system that cannot be overestimated. However, that skill is only possible if high-quality histological substrates are available for assessment, particularly focusing on hematoxylin and eosin (H&E)-stained slides. This brief review considers the several steps that are necessary to control in the preparation of high-quality H&E sections, including those dealing with fixation, embedding, microtomy, histochemical staining, and coverslipping. A table for the troubleshooting of problem slides is also included.
形态学诊断的准确性是解剖病理学的基石。熟练使用显微镜为医疗保健系统带来的价值是不可估量的。然而,只有在有高质量的组织学底物可供评估的情况下,这种技能才成为可能,特别是要关注苏木精和伊红(H&E)染色的切片。本文简要回顾了制备高质量 H&E 切片所需的几个控制步骤,包括固定、包埋、切片、组织化学染色和盖玻片。还包括一张用于解决问题幻灯片的故障排除表。