FRESH TISSUE SPECIME N PREPARATION FOR EX AMINATION
CLEARING
AKA: Dealcoholization CHLOROFORM
Removal of dehydrating agent and replacement of a fluid that is
miscible with both dehydration agent and embedding medium Clearing: 6-24 hours
Translucent — increased refractive index Slower in action than xylol
Can be used for tissue blocking
ROUTINE TISSUE PROCESSING Recommended for tough tissue
Tissue do not become translucent
CLEARING AGENTS
Cause less brittleness
o Remove alcohol
Tissue blocking up to 1cm
o Flammable liquids
Tissue tend to float
o Low boiling points
Hepatotoxic
DURATION OF CLEARING
o Over clearing may cause tissue brittleness
ANILINE OIL
COMMONLY USED CLEARI NG AGENTS
Not for routine purposes
Recommended for embryos, insects, and very delicate
XYLENE tissues
Other name: Xylol
Colorless clearing agent CLOVE OIL
Most common routine procedure
Rapid clearing time: 15-30 minutes to 1 hour Minimum shrinkage
Used in Celloidin section Adulterated —> Easily contaminated
Tissue collection thickness: <5mm Recommended for skin and smooth muscles
Milky when completely dehydrated Not for routine purposes
TLOUENE CEDARWOOD OIL
Other name: Toluol Recommended for CNS tissue and cytology
Clearing: 1-2 hours
o Smooth muscle and skin
Alternative for xylene and benzene
Require change (twice) of clearing agent
If left in toluene for 1 day — will not be excessively hard or
brittle No tissue distortion even if tissue is left indefinitely
Not carcinogenic Disadvantages:
Toxic upon prolonged exposure o Very slow
2-3 days
BENZENE o Very expensive
o Tend to become milky upon prolonged storage
Clearing: 15-60 minutes
Doesn’t make tissues hard and brittle; minimum shrinkage
Recommended for urgent biopsy and routine purposes CARBON TETRACHLORIDE
Highly toxic
Similar with Chloroform
o Can cause aplastic anemia
Cheaper
It can cause tissue hardening
METHYL BENZOATE AND METHYL SALICYLATE
Toxic if prolonged exposure
Slow acting
Double embedding techniques
VILLAPANDO, MARK ANDREW OBEJERA 1
HISTOPATHOLOGIC AND CYTOLOGIC TECHNIQUES
OTHER CLEARING AGENTS PROCEDURE
Clear dehydrated tissue in changes of benzene — 1 hour
OIL OF BERGAMOT each
FOR SKIN AND SMOOTH MUSCLE Note: Insufficient dehydration will turn clearing agent
milky
OIL OF ORIGANUM
For skin
OIL OF WINTERGREEN
Artificial oil
For delicate tissues
CARBON DISULFIDE
For smooth muscle
Foul odor
CARBOL XYLENE
For friable tissues
TERPINEOL
For delicate materials like eyes
PHENOL
For smooth muscles
HIGH TEST AVIATION L EAD FREE GASOLINE
Excellent clearing agent
LABORATORY
DEHYDRATION
Other name: Dealcoholization
Removing the alcohol in tissue
Why remove the alcohol?
o Many substances have property of making tissue
transparent
o It affects their high refractive index
o Refractive index = Tissue
MATERIALS AND REAGENTS
Bottles
Benzene
VILLAPANDO, MARK ANDREW OBEJERA 2