a. Gomori’s Chromaffin Stain Results: Chromaffin granules—purplish red Only alpha cells of pancreatic islets, some cells of anterior pituitary and granules of neutrophils and myelocytes

 


Method III

1. Deparaffinize the sections through two changes each

of xylene, absolute alcohol, and 95% alcohol.

2. Rinse well in distilled water.

3. Place in the following bleaching solution for 5 minutes

or less.

 Bleaching solution

 Acetone 50 cc

 Hydrogen peroxide (3%) 50 cc

 Ammonia water (28%) 10 cc

4. Wash well in running tap water and distilled water, and

stain as desired.

ROUTINE STAINING PROCEDURES

Hematoxylin, a natural dye, is the most important staining

reagent used in histologic work.Used alone, it has little affinity

for tissue; but in combination with (mordants) aluminum,

iron, chromium, copper or tungsten salts, it is a powerful

nuclear stain and a chromatin stain. The active coloring

agent, hematein, is formed by the oxidation of hematoxylin.

This process, known as “ripening”, takes several days or

weeks unless it is hastened by the addition of an oxidizing

Histopathology 795

agent, such as mercuric oxide, hydrogen peroxide, potassium

permanganate, sodium perborate or sodium iodate.

Most commonly used hematoxylins are used in

combination with aluminum in the form of alum. Various

formulations used go by the following names, e.g. Harris,

Mayer, Delafield, Ehrlich, Bullard and Bohmer.

Section stained with hematoxylins may be counterstained with eosin, Congo red, eosinol, safranin or other

contrasting media.

There are two methods of staining when hematoxylin is

used: progressive and regressive.

Progressive: The hematoxylin contains an excess of

aluminum salts or acid, thus increasing the selectivity

for nuclei. After staining with hematoxylin, the slides are

washed well in water and counterstained.

Regressive: This is accomplished by overstaining in a

relatively neutral solution of hematoxylin, then removing

the stain from the other constituents with acid alcohol or

other differentiating agent.

Commonly Employed Hematoxylins

Harris’s Alum Hematoxylin

Hematoxylin crystals 5.0 g

Alcohol, absolute 50.0 g

Ammonium or potassium alum 100.0 g

Distilled water 1000.0 cc

Mercuric oxide (red) 2.5 g

Dissolve the hematoxylin in the alcohol, the alum

in water by the aid of heat. Remove from heat and mix

the two solutions. Bring to a boil as rapidly as possible.

Remove from the heat and add the mercuric oxide slowly.

Reheat until it becomes dark purple, remove from flame

immediately and plunge the vessel into a basin of cold

water until cool. The stain is ready for use as soon as it

cools. Addition of 2 to 4 cc of glacial acetic acid per 100

cc of solution increases the precision of the nuclear stain.

Filter before use.

Mayer’s Hematoxylin

Hematoxylin 1 g

Distilled water 1000 cc

Sodium iodate 0.2 g

Ammonium or potassium alum 50 g

Citric acid 1 g

Chloral hydrate 50 g

Dissolve the hematoxylin in water, using gentle heat if

necessary. Then add the sodium iodate, then the alum.

Shake until the alum is dissolved, then add the citric acid,

and finally the chloral hydrate. The final color of the stain

is reddish-violet. Stain will keep well.

Counterstains for Hematoxylin Stains

Stock 1% Aqueous Eosin Solution

Eosin Y, water soluble 10 g

Distilled water 1000 cc

Dissolve and add:

Glacial acetic acid 2 cc

Stock 1% Alcoholic Eosin Solution

Eosin Y, water soluble 1 g

Distilled water 20 cc

Dissolve and add:

Alcohol, 95% 80 cc

Working Eosin Solution

Eosin, 1% stock solution 1 part

Alcohol, 80% 3 parts

If deeper shade of red is desired in staining, add 0.5 cc of

glacial acetic acid to each 100 cc of stain.

Routine Hematoxylin and Eosin Stain

Fixation: May be used after any fixation.

Technique:

¾ Paraffin or frozen

¾ Cut paraffin sections at 6 microns.

Solution

1. Harris’s hematoxylin

2. Acid alcohol

70% alcohol 1000 cc

Hydrochloric acid, concentrated 10 cc

3. Ammonia water

Tap water 1000 cc

Strong ammonia water 2 to 3 cc

4. Saturated lithium carbonate solution

Lithium carbonate to saturate

Distilled water

5. Alcoholic eosin solution

6. Lugol’s solution (Weigert’s modification)

Potassium iodide 2 g

Iodine crystals 1 g

Distilled water 100 g

7. Alcohol iodine solution

Iodine crystals 1 g

Alcohol, 95% 100 cc

8. Sodium thiosulfate solution (Hypo)

Sodium thiosulfate 5 g

Distilled water 100 cc

796 Concise Book of Medical Laboratory Technology: Methods and Interpretations Staining Procedure

1. Xylene, absolute alcohol, 95% alcohol.

2. If sections are Zenker’s fixed, treat with either Lugol’s

solution or 1% alcoholic iodine solution 10–15

minutes. Wash with tap water. Treat with 5% sodium

thiosulfate 5 minutes. Wash well with tap water.

3. Harris’s hematoxylin for 15 minutes.

4. Rinse in tap water.

5. Differentiate in acid alcohol—3 to 10 quick dips.

Check the differentiation with the microscope—

nuclei should be distinct and the background very

light or colorless.

6. Wash in tap water very briefly.

7. Dip in ammonia water (for 10–20 seconds) saturated

lithium carbonate solution until sections are bright

blue.

8. Wash in running tap water for 10–20 minutes.

9. Stain with eosin for 15 seconds to 2 minutes

depending on the age of the eosin and the depth of

counterstain required.

10. 95% alcohol.

11. Absolute alcohol—at least two changes.

12. Xylene—two changes.

13. Mount in DPX mountant.

 Results

 Nuclei—blue

 Cytoplasm—pink.

Special Stains

Stains for Connective Tissue

a. Mallory’s Phosphotungstic Acid Hematoxylin Stain

Discussed in detail later.

b. Mallory’s Phosphomolybdic Acid Hematoxylin Stain

Results:

Collagen fibers—deep blue.

c. Heidenhain’s Iron Hematoxylin Stain

Results:

 Chromatin, nucleoli, mitochondria, and parts of striated

muscle fibers are stained black. Other tissue elements are

stained by contrast stain used. Demonstrates amoeba.

d. Mallory’s Aniline Blue Collagen Stain

Results:

Nuclei—red

Ground substance of cartilage, mucin and amyloid—

varying shades of blue

Erythrocytes and myelin—yellow

Elastic fibrils—pale pink, pale yellow or unstained.

e. Lee-Brown’s Modification of Mallory’s Aniline Blue Stain

Results:

Nuclei—orange

Collagen—blue

Glomerular basement membrane of kidney—deep blue.

f. Van Gieson’s Stain for Collagen Fibers

Discussed in detail later.

g. Barbeito-Lopez Trichrome Stain

Results:

Nuclei—violet red.

Cytoplasm—green to pale blue

Reticulum fibers—deep blue

Collagen—brilliant green

RBCs—brilliant orange

Bacteria—violet red.

h. Gomori’s One-Step Trichrome Stain

Results:

Muscle fibers—red

Collagen—green

Nuclei—blue to black

Striations of muscle are easily demonstrable.

i. Heidenhain’s Aniline Blue Stain

Results:

Chromatin, osteocytes and neuroglia—red

Cytoplasm—pink to blue

Collagen and reticulum—blue

Muscle—red to yellow.

j. Gallego’s Iron Fuchsin Stain

Results:

Nuclei—gray to black

Collagen and reticulum—deep blue

Muscle—greenish to orange yellow

Calcium—reddish to purple brown

Mast cell granules—deep red

Cartilage—purple to violet

Mucus—blue violet

Cytoplasm—olive to brown

Elastic fibers—purple to red.

k. Weigert’s Resorcin-Fuchsin Elastic Stain

Results:

Elastic fibers—blue-black to black

Nuclei—blue to black

Collagen—pink to red

Other tissue elements—yellow.

Histopathology 797

l. Gomori’s Aldehyde Fuchsin Stain

Results:

Elastic fibers and mucin—deep blue

Beta cells of pancreas—deep blue

Other—stain of counterstain.

m. Verhoeff’s Elastic Stain

 Discussed in detail later.

n. Wilder’s Reticulum Stain

 Discussed in detail later.

o. Koneff’s Stain for Bone and Cartilage

 Results:

Hyaline cartilage and osteoid—blue

Bone—bright red to reddish brown

Matrix of vesicular zone of epiphyseal disc and remnants

of matrix—green

Proliferating cartilage—blue

Hyaline cartilage—blue.

Stains for Cytoplasmic Granules

a. Gomori’s Chromaffin Stain

Results:

Chromaffin granules—purplish red

Only alpha cells of pancreatic islets, some cells of anterior

pituitary and granules of neutrophils and myelocytes

stain likewise.

b. Acid Fuchsin Aniline Blue Method for Pituitary Granules

Results:

Acidophil granules—orange vermillion

Basophil granules—deep cobalt blue

Connective tissue—bright blue

RBCs—intense vermillion.

c. Fontana-Masson Stain for Argentaffin Granules

Discussed in detail later.

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