Krishnan Reshma Poothakulath, Ramani Pratibha, Gheena S, Ramasubramanian Abilasha, Karunagaran Monika, Hannah R
Department of Oral and Maxillofacial Pathology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.
Department of Oral and Maxillofacial Pathology, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.
J Oral Maxillofac Pathol. 2022 Jul-Sep;26(3):352-355. doi: 10.4103/jomfp.jomfp_117_21. Epub 2022 Oct 17.
Pathologists come across various structures in the microscopic sections that are unrelated to the tissues. Artifacts can occur in the tissue from the time the area is prepared for biopsy, during fixation, grossing, processing, sectioning and staining of the specimen. Food substances may get entrapped into the oral tissues and can lead to misdiagnosis. The aim of this study was to observe the microscopic appearances of commonly implanted food particles.
Fourteen food samples were procured from a local market in Chennai, India. This included guava, chilli, chickpeas, channa dal (split chickpeas), cucumber, brinjal, carrot, capsicum, cabbage and urad dal and brown chickpea. The food samples were fixed in 10% formalin for 24 h and were subsequently processed. Hematoxylin and eosin staining was performed, and the sections were observed under the microscope.
Each specimen revealed unique, distinct histology of each food type. Channa dal microscopically in hematoxylin- and eosin-stained sections revealed round-to-oval structures with central pale eosinophilic lobulation. Capsicum showed round-to-polygonal structures of different shapes and sizes with clear central areas. Urad dal microscopically showed cluster of 5-6 eosinophilic structures separated by regular partitions.
It is important to study the microscopic appearances of commonly implanted food particles to prevent any diagnostic dilemmas. Further studies are required involving various other food particles and their microscopic appearances.
病理学家在显微镜切片中会遇到各种与组织无关的结构。从准备活检区域之时起,在标本的固定、大体检查、处理、切片和染色过程中,组织中都可能出现人为假象。食物物质可能会被困在口腔组织中,从而导致误诊。本研究的目的是观察常见植入食物颗粒的微观表现。
从印度钦奈的当地市场采购了14种食物样本。这包括番石榴、辣椒、鹰嘴豆、鹰嘴豆泥(裂开的鹰嘴豆)、黄瓜、茄子、胡萝卜、甜椒、卷心菜、黑绿豆和棕色鹰嘴豆。将食物样本固定在10%福尔马林中24小时,随后进行处理。进行苏木精和伊红染色,并在显微镜下观察切片。
每个标本都显示出每种食物类型独特、明显的组织学特征。在苏木精和伊红染色切片中,鹰嘴豆泥显微镜下显示为圆形至椭圆形结构,中央有淡嗜酸性分叶。甜椒显示出不同形状和大小的圆形至多边形结构,中央区域清晰。黑绿豆显微镜下显示5 - 6个嗜酸性结构的簇,由规则的分隔隔开。
研究常见植入食物颗粒的微观表现对于防止任何诊断困境很重要。需要进一步开展涉及各种其他食物颗粒及其微观表现的研究。