Department of Biomedical Sciences, Humanitas University, Milan, Italy.
IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Pathologica. 2023 Dec;115(6):302-307. doi: 10.32074/1591-951X-900.
Counting stuff under the microscope is part of the duties of a surgical pathologist. Many textbooks and articles still report the surface area as the number of high-power fields (HPFs) counted. This is bad, since the area displayed by an HPF varies between two microscopes. It is therefore necessary to express the surface as mm. This is a how to guide written for the resident who has to measure the HPF of the microscope for the first time. The Resident can either calibrate the microscope with a stage micrometer slide (a small ruler on a glass slide) or compute the surface area of the HPF using the numbers on the eyepiece and the magnification objective. for "10X/22" eyepiece and a "40X" objective, the diameter of the HPF is 22/40 = 0.55 (if no other magnification is present), and the surface is 0.238 mm. The young resident might then ask: "How far off-target was I when I counted the number of HPFs that the chief resident declared to be correct?" Probably not that much: although legitimate in principle and correct in math, the size of the problem is often overstated since microscopes are not that different after all and because pathology is not just about counting.
在显微镜下计数是外科病理学家的职责之一。许多教科书和文章仍报告表面积为计数的高倍视野 (HPF) 的数量。这很糟糕,因为 HPF 显示的面积在两台显微镜之间有所不同。因此,有必要将表面积表示为毫米。这是为第一次必须测量显微镜 HPF 的住院医师编写的操作指南。住院医师可以使用载物台测微尺(载玻片上的小标尺)校准显微镜,或者使用目镜和放大物镜上的数字计算 HPF 的表面积。对于“10X/22”目镜和“40X”物镜,HPF 的直径为 22/40=0.55(如果没有其他放大倍数),表面积为 0.238mm。年轻的住院医师可能会问:“当我数出首席住院医师宣布正确的 HPF 数量时,我离目标有多远?”可能不会那么远:尽管原则上是合法的,而且在数学上是正确的,但问题的大小往往被夸大了,因为毕竟显微镜并没有那么不同,而且病理学不仅仅是关于计数。