metodo de grimelius
TRANSCRIPT
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SURGICAL PATHOLOGY - HISTOLOGY Dat e:
STAINING MANUAL - SPECIAL CELLS AND TISSUES Page: 1 of 3
GRI MELI US - PA SCUA L' S MODI FI ED - A RGYROPHI L CELL S
PURPOSE: These cells are found in larger numbers in the same general
locat ions as the argent aff in cells. Argent aff in cells will have a posit ivereact ion with the argyrophil t echniques, but t he argyrophil cells will not
react with the argentaffin techniques. This procedure is used for the
dif f erent iat ion of carcinoid t umors.
PRI NCI PLE: Argyrophil cells are capable of being impregnated wit h
silver, but need a reducing agent t o reduce t he silver t o a visible metallic
silver. While argent aff in cells have bot h t he abilit y of being impregnated
wit h silver and reducing t he silver.
CONTROL: Tissue known t o cont ain argyrophil granules or small int est ine.
FIXATION: 10% formalin
TECHNI QUE: Cut paraf f in sect ions 4 .
EQUI PMENT: Acid c leaned glassware, pH met er, microw ave oven.
REAGENTS:A c i du l at ed Wat er :
Dist i l led w at er 1000 .0 ml
0.3 % Cit ric acid 50 .0 ml
Add the 0.3% citric acid, drop by
drop, unt il a pH has been
established at 4.2. Make fresh,
discard aft er use.
CAUTI ON: Av oi d c ont ac t and i nha l at i on.
1 % Si l v er Ni t r at e:
Silver nit rat e 0.5 gm
Acidulat ed wat er 50 .0 ml
Make fresh, discard af t er use.
CAUTI ON: Av oi d c ont ac t and i nha l at i on.
Reduc i ng Sol ut i on :
Sodium sulfit e, anahydro us 2.5 gm
Hydroquinone 0.5 gm
Acidulat ed wat er 50 .0 ml
Make fresh, discard af t er use.
CAUTI ON: Av oi d c ont ac t and i nha l at i on.
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SPECIAL CELLS AND TISSUES
GRI MELI US Page: 2 of 3
SAFETY: Wear gloves, goggles and lab coat . Avoid cont act and inhalat ion.
Silver nit rate: severe skin and eye irrit ant . Oxidizer. Ingest ion will
produce violent gast rointest inal discomfort . Possible carcinogen:equivocal t umorigenic agent .
Sodium sulf it e; toxic on ingest ion. can irrit ate t he st omach. Irrit ant t o
skin, eyes and respirat ory syst em.
Hydroquinone; irritant t o skin and eyes. Toxic by inhalat ion and ingest ion.
Chronic expo sure has caused bladder cancer in m ice.
PROCEDURE:
1. Deparaff inize and hydrat e to acidulat ed water.
2. * 1% Silver solut ion, microwave 80 power, 5 0 seconds. Save solut ion.
3. Rinse slides in hot acidulat ed wat er.
4. *Heat Reducing solut ion, 55 seconds, Hi power. Place slides in hot
solut ion for 3 -5 minut es. Save solut ion.
5. Rinse in 3 changes of hot acidulat ed wat er.
6. * 1% Silver solut ion, microwave 80 power, 30 seconds.
7. Rinse in hot acidulated wat er.
8. *Reheat Reducing solut ion, 15 seconds, Hi power. Place slides in hot
solut ion f or 1- 2 m inut es. Check microscopically f or black cyt oplasmic
granules, repeat st eps 6 t hrough 8 if needed.9. Rinse in t ap wat er f or several minut es.
10 . Dehydrat e, clear, and coverslip.
*Convent ional Met hod:
2. Silver solut ion, 60 C , 1 hour.
4. Heated Reducer, 58C, 5 minutes.
6. Silver solut ion, 5 8 C, 1 0 minut es.
8. Heat Reducer, 58 C, 1 0 minutes.
RESULTS:Arg y ro ph il li c c el ls b lac k
Background yellow t o gold
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SPECIAL CELLS AND TISSUES
GRI MELI US Page: 3 of 3
REFERENCES:
Pascual JS, A New Met hod for Easy Demonst rat ion of Argyrophil cells.
St ain Tech, 51 :231 -23 5, 19 76
Sheehan D, Hrapchak B, Theory and pract ice of Histot echnology, 2nd Ed,
19 80 , pp 27 8-2 79 , Batt elle Press, Ohio
Crookham,J, Dapson,R, Hazardous Chemicals in t he Hist opat hology
Laboratory, 2nd ED, 19 91, Anat ech
Prepared: By:
Approved: By:
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PROCEDURE CARD
GRI MELI US - PA SCUA L' S MODI FI ED - A RGYROPHI L CELL S
CONTROL: Tissue known t o cont ain argyrophil granules or small int estine.
TECHNI QUE: Cut paraff in sect ions 4.
PROCEDURE:1. Deparaffinize and hydrat e t o acidulat ed water.
2. *1 % Silver solut ion, microwave 80 power, 50 seconds. Save solut ion.
3. Rinse slides in hot acidulated water.
4. *Heat Reducing solut ion, 55 seconds, Hi power. Place slides in hot solut ion for 3 -5
minut es. Save solution.
5. Rinse in 3 changes of hot acidulat ed water.
6. *1 % Silver solution, microwave 80 power, 30 seconds.
7. Rinse in hot acidulat ed wat er.
8. *Reheat Reducing solut ion, 15 seconds, Hi power. Place slides in hot solut ion for 1 -2
minutes. Check microscopically f or black cyt oplasmic granules, repeat steps 6 t hrough 8
if needed.
9. Rinse in t ap wat er for several minutes.
10 . Dehydrat e, clear, and coverslip.
*Convent ional Met hod:
2. Si lver solut ion, 60 C , 1 hour.
4. Heat ed Reducer, 58 C, 5 minutes.
6. Silver solut ion, 58 C, 10 minutes.
8. Heat Reducer, 58 C, 10 minutes.
RESULTS:Argyrophillic cells black
Background yellow t o gold
A c i dul at ed Wat er :
Dist illed wat er 1 00 0 .0 ml
0 .3 % Cit r ic acid 5 0 .0 ml
Add the 0.3% citric acid, drop bydrop, until a
pH has been est ablished at 4.2 . Make fresh,
discard after use.
CAUTI ON: Av oi d c ont ac t and i nha l at i on.
1 % S i l v e r Ni t r a t e:
Silver nit rat e 0.5 gm
Acidulat ed wat er 5 0 .0 ml
Make fresh, discard af t er use.
CAUTI ON: Av oi d c ont ac t and i nha l at i on.
Reduc i ng Sol ut i on:
Sodium sulfit e,
anahydrous 2.5 gm
Hydroquinone 0.5 gm
Acidulat ed wat er 50 .0 ml
Make fresh, discard af t er use.
CAUTI ON: Av oi d c ont ac t and i nha l at i on.