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Quiz on Artefacts
3-10-2019
Dr Venkatesh
Dr Sree Rekha
Quiz
• Round 1
• Round 2
• Round 3
• Round 4
Pre – fixation artefacts
1.Identify the artefact and
2.Reason for the artefact
Q1
1
Crush artefact
• Tissue distortion resulting from even the most
minimal compression of the tissue.
• Suture the mucosa of the interest
• Take the biopsy with non teethed forceps.
• Gel foam artefact
• Made up of gelatin
• To arrest bleeding on vascular organs.
Pigment/ Tatoo artefact
• Due to tatooing
• Can be Birefringent
Cellulose artefact
• Cellulose – commonly seen in GIT
• Due to inadequate preparation or washing
• Can be seen in cotton, gauze and cardboard
Thermal artefact
• Due to laser used to control bleeding
• Seen in the margins
• Heat causes coagulation and denaturation of
the proteins
Tissue Processing and
Microtomy artefacts
1.Identify the artefact and
2.Reason for the artefact
• Venetian blind artifact
• Reasons:
– Excessive vibrations in the knife edge
– Overdehydartion
– Dull knife, loose knife -Keep the knife securely
clamped into its holder and the holder to the
microtome.
– Loose block
Chatter
• Chatter
• Reasons:
– Over dehydrated tissue
– Dull –knife
– Occurs when large block from large tissue tissue
(like cervix or uterus) when cut produces
vibrations.
• Bubble artefact
• Reason:
– Due to improper mounting
• Ice crystal artefact or swiss cheese artefact
• Reason:
– Due to improper freezing of the muscle biopsy
specimen
– It may also occur after improper transport or
storage that allows thawing and refreezing of the
sample
• Moth eaten artefact
• Reasons:
– Aggressive block facing and trimming
– Trimmimg too rapid
– Dull knife
• Folding artefact
• Reasons:
– Poor technique of ribboning
– Not enough streching of tissue
– Water bath too cold
– No tissue adhesive
• Inadequate clearing
• Reason:
• Improper wax clearing leading to undue
staining
• Formalin Pigment
• Reasons:
Artefacts in cytology
1.Identify the artefact and
2.Reason for the artefact
• Lubricant contamination.
• Lubricant jelly which is used before
performing PAP smear
• Sutures in the PAP smear
• Can be seen in cervical smears
• Pollen grains
• Usually seen in respiratory samples.
• Koilocytic change
Diagnostic artefacts
1. Name the artefact
2. Reason for the artefact
• Azzopardi effect
• The basophilic appearance of the vessel
wall due to encrustation of DNA from
the necrotic tumor cells onto the vessel wall.
• Basal cell carcinoma
• The retraction cleft occurs between tumour
and stroma because of shrinkage of mucin
during tissue fixation and staining.
• Fried egg appearance Oligodendroglioma
• Formalin fixed artefact
• Hematoxylin bodies
Aspiration pneumonia
• Lipoblast
• Artefact:
• Mast cells in Toludine blue staining
• Metachromasia
• Tigroid background – Seminoma
• Occurs due to glycogen rich tumour cells.
Quiz on artefacts

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Quiz on artefacts

Editor's Notes

  1. during improper freezing of the muscle biopsy specimen (Fig. 4.4). It may also occur after improper transport or storage that allows thawing and refreezing of the sample. This type of artifact may simulate pathologic change, such as vacuolar myopathy, or it may distort pathologically altered fibers, thereby precluding proper interpretation. In contrast to pathologic vacuoles, the vacuoles associated with ice crystals are in the more slowly frozen or earlier thawing portion of the specimen, which is generally in the center or at the periphery of the tissue block, respectively. Vacuoles tend to affect every fiber in the region of artifact and may be arranged in a gradient according to size. Where the artifact is minimal, small vacuoles are numerous in each fiber, uniform in size, and arranged in a waffle pattern; they are located between the myofibrils. In poorly frozen regions, larger clear vacuoles are present. Muscle transported to the laboratory in saline can acquire artifactual separation of muscle fibers during freezing due to the expansion of water that accumulated in the interstitium.