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去塑料化:组织学结构的保存及其在组织病理学领域的预期作用。

Deplastination: Preservation of Histological Structures and its Anticipated Role in the Field of Histopathology.

机构信息

Department of Oral and Maxillofacial Pathology and Microbiology, A.J. Institute of Dental Sciences, Mangalore, India.

Department of Anatomy, Christian Medical College, Vellore, India.

出版信息

Clin Anat. 2020 Jan;33(1):108-112. doi: 10.1002/ca.23477. Epub 2019 Oct 10.

Abstract

Deplastination is the process of reversing plastination such that a plastinated specimen can be reverted to its raw nature. This would enable its use in the field of histopathology. The present study aims to ascertain if deplastinates can be used for histopathological studies after a time period. Tissue samples were taken from patients undergoing maxillofacial surgeries for oral carcinomas after obtaining written informed consent. The 12 specimens obtained were divided into two groups. One set of tissues was processed for paraffin embedding after 10% formalin fixation. The other set was plastinated by S10 silicon plastination. After 3 months, the plastinates were deplastinated using sodium methoxide and processed for routine hematoxylin and eosin staining, similar to the formalin fixed specimens. The slides were quantitatively assessed on parameters like tissue architecture, staining property, and intracellular structure. In addition, the slides were qualitatively evaluated by a pathologist who was blinded to the mode of preservation to see if identification of pathological features was possible on a deplastinated slide. The formalin preserved specimens and deplastinated tissue slides compared closely in all three parameters tested with the need to identify the endpoint of deplastination. Qualitatively, deplastination did not hamper identification of tissue pathology. Deplastination increases the scope of a stored plastinate by allowing histological studies in the future without the need for any preservatives or special storage equipment. It preserves structure and maintains tissue pathology. An improved method of ensuring the endpoint of deplastination needs to be identified. Clin. Anat. 32:108-112, 2019. © 2019 Wiley Periodicals, Inc.

摘要

去塑化是使塑化过程逆转的过程,以使塑化标本能够恢复其原始状态。这将使其能够在组织病理学领域得到应用。本研究旨在确定经过一段时间后,去塑化物是否可用于组织病理学研究。在获得书面知情同意书后,从接受口腔癌颌面手术的患者身上采集组织样本。获得的 12 个样本分为两组。一组组织在经过 10%甲醛固定后进行石蜡包埋处理。另一组则使用 S10 硅树脂塑化。3 个月后,使用甲醇钠对塑化物进行去塑化处理,并进行常规苏木精和伊红染色处理,类似于甲醛固定的标本。对幻灯片进行组织架构、染色特性和细胞内结构等参数的定量评估。此外,病理学家对幻灯片进行了定性评估,该病理学家对保存方式不知情,以确定在去塑化幻灯片上是否可以识别病理特征。在所有三个测试参数中,甲醛保存的标本和去塑化的组织切片都非常相似,只是需要确定去塑化的终点。定性分析表明,去塑化不会影响组织病理学的识别。去塑化通过允许将来进行组织学研究,而无需任何防腐剂或特殊储存设备,从而增加了储存塑化物的范围。它可以保存结构并维持组织病理学。需要确定一种改进的方法来确保去塑化的终点。临床解剖学 32:108-112, 2019。© 2019 Wiley Periodicals, Inc.

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