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MUSEUM IN PATHOLOGY
● Pathological museums are in part historical,
representing the pioneer work of diagnosticians
and therapists.
● Presents records of the past states, now
infrequently encountered.
● Provide the students with basic material of their
current teaching
● BASIC MUSEUM TECHNIQUES
– Reception
– Preparation
– Fixation
– Color restoration
– Preservation
– Mounting
– Special methods
– presentation
● RECEPTION
– Source: specimen are mostly collected from
● Teaching hospitals – surgically resected specimen from
operation theatres.
● Necropsy specimen from postmortem room
● Research laboratories
– Specimen should be received with full details of the
patient and the lesion.
● PREPARATION OF THE SPECIMEN
– Contact of the specimen with tap water –
commonest cause of inferior quality of specimen.
Resultant hemolysis greatly reduces the value of
preservation.
– Should be washed in saline and kept in saline
before demonstration. Drying ruins surface
appearance.
– Should not be kept in saline for more than 2 hrs as
autolysis sets in.
● FIXATION OF THE SPECIMEN
– Objective : to preserve cells and tissue constituents
in as close to life like state as possible.
– Fixation stops autolysis and bacterial
decomposition, and stabilizing the cellular and
tissue constituents.
– Fixatives used are based on formalin fixative
technique.
– They are derived from Kaiserling technique and its
modification.
● Keiserling recommended that the initial fixation
should be in neutral formalin ( KI) solution and
then preserving glycerine solution (KIII) for long
term display.
● These solution also preserve color.
● Principle of fixation
– Specimen containing bile or stained by bile must be
fixed and stored apart from other specimen.
– Specimen undergoing fixation must not touch other
specimen or the sides of the jar; they must either lie
on washed lint or should be suspended by lenin
thread.
– Flat flaps of tissues like stomach, intestine etc. should
be fixed to cork board and left in formalin so that they
are not crumpled and irregularly fixed.
– Cystic cavities – if unopened, should be injected with
fixatives. Opened ones should be packed with cotton
wool.
– Solid viscera should be fixed by vascular injection.
For eg, brain is fixed by injecting fixative through
basilar artery.
– Lungs and limbs should be fixed by vascular
injection.
● Fixation technique
– Most widely used techniques are modification of
method described by Kaiserling (1897)
– Originally 3 solutions were used
● First for fixing
● Second for restoring color
● Third as a mounting fluid.
Keiserling no I – fixing fluid
● Formalin 40% - 400 ml
● Potassium nitrate – 30 g
● Potassium acetate – 60 g
● Water up to 2000 ml
– Tissue is fixed in Kaiserling No. I solution for 24 hrs
to few weeks depending on the size of the
specimen.
Keiserling no. II solution
– The specimen is placed in 80% ethyl alcohol
solution for an optimal period for 1 hour ( up to 4 hrs
depending on the size of specimen), if the
specimen is discolored.
– If the specimen is left in alcohol for too long → the
color will fade, and the effect is irreversible.
– THIS STEP IS NOT REQUIRED IF MOUNTING
FLUID UDED IS SODIUM HYDROGEN SULFITE
● COLOR RESTORATION
– The fixed specimen is transferred to a jar containing
industrial methylated spirit until the color is fully
restored.
– The alcohol penetrates the tissue rapidly.
– Floating specimen → cover with surgical gauze.
The vessel should be closed to prevent
evaporation.
– Color restoration is complete in 2 – 8 hrs,
depending on the size and character of the
specimen.
– Restoration can be achieved by adding reducing
agent – sodium hydrogen sulfite to the mounting
fluid (Pulvertaft, 1936).
– Specimen mounted show remarkably little fading
even after 25 yrs.
Original Kaiserling no. III solution
– Glycerin 500 ml
– Arsenious acid 1% in 200 ml
– Potassium acetate 250 g
– Thymol 2.5 g
Pulvertaft – Kaiserling mounting fluid III
– Glycerine 300 ml
– 10% sodium acetate 100 g
– 10% formalin 5 ml
– Tap water 1000 ml
● Camphor/ thymol – prevents the growth of moulds.
● Immediately before sealing 0.4% sod. Hydrosulfite is added.
● Solution should be filtered through paper pulp under
negative pressure to remove impurities.
● Carbon monoxide has also been employed as
color -retaining agent. It gives brilliant contrast
color. Risks – poisoning, explosion. The colors
are unrealistic.
● Pure liquid paraffin can be used as final
mountant after color restoration with alcohol. It
reduces discoloration of mounting fluid by
pigments in the specimen
● HOLLOW VISCERA
– Cut hollow viscera should be padded with cotton
wool.
– Uncut viscera can be pressure inflated. Eg
● Through urethra into the bladder.
● Through urethra into pelvicalyceal system
● Through trachea into the lungs.
● Direct injection in case of cysts
– The fixatives can be injected into such organs by
Higginson syringe or with conventional hypodermic
syringe.
● PRESERVATION
– The specimen together with a duplicate label, is
wrapped in gauze or muslin and the label is
attached with a piece of linen thread.
– Specimens are preserved in a rectangular
earthenware tanks
– The fluid used can be Kaiserling fixing fluid I for a
period of six months.
– After 6 mths, the specimen should be treated with
80% alcohol to restore color.
● MOUNTING
– Specimen are trimmed to desired size and shape
so that they fit in the jar. All unwanted and non
representative tissues are removed after careful
dissection.
– If the specimen do not remain in natural position
after removal of cotton wool packing, fill the cavities
with arsenious acid-gelatin.
– Regular cuts given keeping in anatomical position.
● Friable specimen can be covered by thin layer
of arsenious acid- gelatin.
● Bile stained specimen are soaked in solution of
calcium chloride for 24 hrs to avoid
discoloration of mounting fluid.
● Mounting procedure
– Museum jars and boxes
– Center plates
– Stitching specimens to center plate
– Fixing the center plate
– Filling and sealing
● Factors affecting fixation
– Buffering
– Penetration
– Volume
– Temperature
– Concentration
– Time interval
– Position of the tissue
SPECIAL METHODS
– Maceration
● Used to demonstrate bony lesions eg. osteogenic sarcomas, osteomas
and tuberculosis
● Enables the preservation of even finest bony spicules .
– Calculi
● Calculi are cut in half with fine fretsaw and cut surface is polished with
sand paper.
● Dry mounting in closed jars
– Amyloid
● Iodine technique
● Congo red technique
PRESENTATION
– Museum specimen should be clearly labeled and a
system of cataloging should be employed which
allows easy and rapid access.
LABELING
– Rectangle of perspex sheet 1/16 th of an inch in
thickness which is cemented in the center at the
bottom of the outside of the box or the bottom of the
center plate.
THANK YOU

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Museum techniques

  • 2. ● Pathological museums are in part historical, representing the pioneer work of diagnosticians and therapists. ● Presents records of the past states, now infrequently encountered. ● Provide the students with basic material of their current teaching
  • 3. ● BASIC MUSEUM TECHNIQUES – Reception – Preparation – Fixation – Color restoration – Preservation – Mounting – Special methods – presentation
  • 4. ● RECEPTION – Source: specimen are mostly collected from ● Teaching hospitals – surgically resected specimen from operation theatres. ● Necropsy specimen from postmortem room ● Research laboratories – Specimen should be received with full details of the patient and the lesion.
  • 5. ● PREPARATION OF THE SPECIMEN – Contact of the specimen with tap water – commonest cause of inferior quality of specimen. Resultant hemolysis greatly reduces the value of preservation. – Should be washed in saline and kept in saline before demonstration. Drying ruins surface appearance. – Should not be kept in saline for more than 2 hrs as autolysis sets in.
  • 6.
  • 7. ● FIXATION OF THE SPECIMEN – Objective : to preserve cells and tissue constituents in as close to life like state as possible. – Fixation stops autolysis and bacterial decomposition, and stabilizing the cellular and tissue constituents. – Fixatives used are based on formalin fixative technique. – They are derived from Kaiserling technique and its modification.
  • 8. ● Keiserling recommended that the initial fixation should be in neutral formalin ( KI) solution and then preserving glycerine solution (KIII) for long term display. ● These solution also preserve color.
  • 9. ● Principle of fixation – Specimen containing bile or stained by bile must be fixed and stored apart from other specimen. – Specimen undergoing fixation must not touch other specimen or the sides of the jar; they must either lie on washed lint or should be suspended by lenin thread. – Flat flaps of tissues like stomach, intestine etc. should be fixed to cork board and left in formalin so that they are not crumpled and irregularly fixed. – Cystic cavities – if unopened, should be injected with fixatives. Opened ones should be packed with cotton wool.
  • 10. – Solid viscera should be fixed by vascular injection. For eg, brain is fixed by injecting fixative through basilar artery. – Lungs and limbs should be fixed by vascular injection.
  • 11. ● Fixation technique – Most widely used techniques are modification of method described by Kaiserling (1897) – Originally 3 solutions were used ● First for fixing ● Second for restoring color ● Third as a mounting fluid.
  • 12. Keiserling no I – fixing fluid ● Formalin 40% - 400 ml ● Potassium nitrate – 30 g ● Potassium acetate – 60 g ● Water up to 2000 ml – Tissue is fixed in Kaiserling No. I solution for 24 hrs to few weeks depending on the size of the specimen.
  • 13. Keiserling no. II solution – The specimen is placed in 80% ethyl alcohol solution for an optimal period for 1 hour ( up to 4 hrs depending on the size of specimen), if the specimen is discolored. – If the specimen is left in alcohol for too long → the color will fade, and the effect is irreversible. – THIS STEP IS NOT REQUIRED IF MOUNTING FLUID UDED IS SODIUM HYDROGEN SULFITE
  • 14. ● COLOR RESTORATION – The fixed specimen is transferred to a jar containing industrial methylated spirit until the color is fully restored. – The alcohol penetrates the tissue rapidly. – Floating specimen → cover with surgical gauze. The vessel should be closed to prevent evaporation. – Color restoration is complete in 2 – 8 hrs, depending on the size and character of the specimen.
  • 15. – Restoration can be achieved by adding reducing agent – sodium hydrogen sulfite to the mounting fluid (Pulvertaft, 1936). – Specimen mounted show remarkably little fading even after 25 yrs.
  • 16. Original Kaiserling no. III solution – Glycerin 500 ml – Arsenious acid 1% in 200 ml – Potassium acetate 250 g – Thymol 2.5 g
  • 17. Pulvertaft – Kaiserling mounting fluid III – Glycerine 300 ml – 10% sodium acetate 100 g – 10% formalin 5 ml – Tap water 1000 ml ● Camphor/ thymol – prevents the growth of moulds. ● Immediately before sealing 0.4% sod. Hydrosulfite is added. ● Solution should be filtered through paper pulp under negative pressure to remove impurities.
  • 18. ● Carbon monoxide has also been employed as color -retaining agent. It gives brilliant contrast color. Risks – poisoning, explosion. The colors are unrealistic. ● Pure liquid paraffin can be used as final mountant after color restoration with alcohol. It reduces discoloration of mounting fluid by pigments in the specimen
  • 19. ● HOLLOW VISCERA – Cut hollow viscera should be padded with cotton wool. – Uncut viscera can be pressure inflated. Eg ● Through urethra into the bladder. ● Through urethra into pelvicalyceal system ● Through trachea into the lungs. ● Direct injection in case of cysts – The fixatives can be injected into such organs by Higginson syringe or with conventional hypodermic syringe.
  • 20.
  • 21. ● PRESERVATION – The specimen together with a duplicate label, is wrapped in gauze or muslin and the label is attached with a piece of linen thread. – Specimens are preserved in a rectangular earthenware tanks – The fluid used can be Kaiserling fixing fluid I for a period of six months. – After 6 mths, the specimen should be treated with 80% alcohol to restore color.
  • 22.
  • 23. ● MOUNTING – Specimen are trimmed to desired size and shape so that they fit in the jar. All unwanted and non representative tissues are removed after careful dissection. – If the specimen do not remain in natural position after removal of cotton wool packing, fill the cavities with arsenious acid-gelatin. – Regular cuts given keeping in anatomical position.
  • 24. ● Friable specimen can be covered by thin layer of arsenious acid- gelatin. ● Bile stained specimen are soaked in solution of calcium chloride for 24 hrs to avoid discoloration of mounting fluid.
  • 25. ● Mounting procedure – Museum jars and boxes – Center plates – Stitching specimens to center plate – Fixing the center plate – Filling and sealing
  • 26.
  • 27. ● Factors affecting fixation – Buffering – Penetration – Volume – Temperature – Concentration – Time interval – Position of the tissue
  • 28. SPECIAL METHODS – Maceration ● Used to demonstrate bony lesions eg. osteogenic sarcomas, osteomas and tuberculosis ● Enables the preservation of even finest bony spicules . – Calculi ● Calculi are cut in half with fine fretsaw and cut surface is polished with sand paper. ● Dry mounting in closed jars – Amyloid ● Iodine technique ● Congo red technique
  • 29. PRESENTATION – Museum specimen should be clearly labeled and a system of cataloging should be employed which allows easy and rapid access.
  • 30. LABELING – Rectangle of perspex sheet 1/16 th of an inch in thickness which is cemented in the center at the bottom of the outside of the box or the bottom of the center plate.