Notes Histopathology staining technique

 



Hematological Stains:

Name of Stain

Reagents Used

Type of Tissue

Disease

Results for Different Tissue

Microscopic Characteristics in Pathological Condition

Hematoxylin & Eosin (H&E)

Hematoxylin, Eosin

All tissue types

General histopathology

Nuclei - Blue, Cytoplasm - Pink

Altered nuclear size/shape, cytoplasmic abnormalities

Wright-Giemsa

Methylene blue, Eosin, Azure B

Blood, Bone marrow

Hematological disorders

Erythrocytes - Pink, Leukocytes - Purple/Blue

Abnormal cell morphology, presence of immature cells

Romanowsky Stains (e.g., May-Grünwald Giemsa)

Various dyes

Blood, Bone marrow

Hematological disorders

Differential staining of blood cell components

New Methylene Blue

New Methylene Blue solution

Blood, Bone marrow

Hematological disorders

Enhanced visualization of platelets, reticulocytes

Leishman Stain

Leishman stain solution

Blood, Bone marrow

Hematological disorders

Identification of blood cell types

Toluidine Blue

Toluidine blue solution

Blood, Bone marrow

Hematological disorders

Detection of mast cells and basophils

Connective Tissue Stains:

Name of Stain

Reagents Used

Type of Tissue

Disease

Results for Different Tissue

Microscopic Characteristics in Pathological Condition

Masson's Trichrome

Aniline Blue, Biebrich Scarlet, Phosphotungstic acid

Connective tissue

Fibrosis, Collagen disorders

Collagen - Blue, Muscle - Red, Cytoplasm - Pink

Increased collagen deposition, fibrotic changes

Verhoeff-Van Gieson (VVG)

Iron hematoxylin, Van Gieson's solution

Connective tissue

Elastic fibers, Vascular diseases

Elastic fibers - Black, Collagen - Red

Visualization of elastic fibers in tissues, assessment of vascular pathologies

Elastic Van Gieson (EVG)

Weigert's Iron Hematoxylin, Van Gieson's solution

Connective tissue

Elastic fibers, Vascular diseases

Elastic fibers - Black, Cytoplasm - Pink

Identification of elastic fibers and related vascular pathologies

Movat Pentachrome

Aniline Blue, Crocein Scarlet/Acid Fuchsin, Orange G, Phosphotungstic acid

Connective tissue

Histopathology of arteries, Collagen and muscle

Collagen - Blue, Muscle - Red, Nuclei - Black

Differentiation of collagen and smooth muscle in arteries

Orcein Stain

Orcein solution

Connective tissue

Elastic fibers, Dermatopathology

Elastic fibers - Red, Other structures - Yellow

Visualization of elastic fibers in skin and other tissues

Muscle Stains:

Name of Stain

Reagents Used

Type of Tissue

Disease

Results for Different Tissue

Microscopic Characteristics in Pathological Condition

Gomori Trichrome

Aniline Blue, Metanil Yellow

Skeletal muscle

Muscular disorders

Muscle fibers - Blue, Cytoplasm - Red

Assessment of muscle fiber degeneration and regeneration

Modified Gömöri Trichrome

Aniline Blue, Phosphotungstic acid

Skeletal muscle

Muscular disorders

Muscle fibers - Blue, Cytoplasm - Red

Detection of nemaline rods and other muscle abnormalities

Phosphotungstic Acid Hematoxylin (PTAH)

Phosphotungstic acid, Hematoxylin

Muscle, Brain

Neurodegenerative diseases

Fibrin - Blue, Neurofibrils - Pink

Identification of neurofibrils and fibrin deposits in tissues

Bone Stains:

Name of Stain

Reagents Used

Type of Tissue

Disease

Results for Different Tissue

Microscopic Characteristics in Pathological Condition

Von Kossa

Silver nitrate, Sodium thiosulfate

Bone

Calcium deposits, Osteopathology

Calcium deposits - Black stain

Visualization of calcium deposits in bone tissue

Alizarin Red

Alizarin red solution

Bone

Calcium deposits, Osteopathology

Calcium deposits - Red stain

Detection of calcium deposits in bone tissue

Tartrate-Resistant Acid Phosphatase (TRAP)

Naphthol AS-MX phosphate, Fast Red Violet LB salt

Bone

Osteoclasts, Bone disorders

Osteoclasts - Red stain

Identification of osteoclasts in bone tissues

Toluidine Blue O

Toluidine blue O solution

Bone

Bone marrow assessment

Visualization of mast cells in bone marrow

Nervous System Stains:

Name of Stain

Reagents Used

Type of Tissue

Disease

Results for Different Tissue

Microscopic Characteristics in Pathological Condition

Luxol Fast Blue

Solvent blue 38, Lithium carbonate

Brain, Spinal cord

Myelin assessment, Multiple Sclerosis

Myelin - Blue stain, Other structures - Pink

Identification of myelin and myelin abnormalities in nervous tissue

Bielschowsky Stain

Silver nitrate, Ammonium hydroxide

Brain

Neurodegenerative disorders

Neurofibrils - Black stain

Visualization of neurofibrillary tangles and neuritic plaques

Cresyl Violet

Cresyl violet acetate

Brain

Nissl body assessment, Neurological disorders

Nissl bodies - Purple stain

Identification of Nissl bodies in neuronal tissue

Bodian Stain

Silver nitrate solution

Brain

Neuronal morphology, Histopathology

Stained axons and dendrites

Visualization of axons and dendrites in neuronal tissue

Immunohistochemistry Stains:

Name of Stain

Reagents Used

Type of Tissue

Disease

Results for Different Tissue

Microscopic Characteristics in Pathological Condition

Immunohistochemistry (IHC)

Specific antibodies labeled with chromogens

Various tissues

Identification of antigens

Positive antigen expression - Brown stain

Detection of specific proteins/antigens in tissues

In situ Hybridization (ISH)

Specific DNA/RNA probes

Various tissues

Detection of specific nucleic acids

Presence of target DNA/RNA - Colored signal

Localization of specific genes/DNA/RNA in tissues

Special Stains:

Name of Stain

Reagents Used

Type of Tissue

Disease

Results for Different Tissue

Microscopic Characteristics in Pathological Condition

Periodic Acid-Schiff (PAS)

Periodic Acid, Schiff's reagent

Glycogen-rich tissues

Glycogen storage diseases

Glycogen - Magenta stain

Abnormal glycogen accumulation, vacuoles in cells

Prussian Blue

Potassium Ferrocyanide, HCl

Tissues with Iron

Iron overload disorders

Iron deposits - Blue stain

Abnormal iron accumulation in cells/tissues

Congo Red

Congo Red solution

Amyloid-rich tissues

Amyloidosis

Amyloid deposits - Red/orange stain

Presence of amyloid deposits in tissues

Methyl Green Pyronin (MGP)

Methyl green, Pyronin Y

Nucleic acids in tissues

Cellular proliferation

DNA - Green stain, RNA - Pink stain

Assessment of cell proliferation and nucleic acid content

Oil Red O

Oil Red O solution

Fat-rich tissues

Lipid droplets, Steatosis

Lipid droplets - Red/orange stain

Visualization of lipid droplets in tissues, assessment of steatosis

Miscellaneous Stains:

Name of Stain

Reagents Used

Type of Tissue

Disease

Results for Different Tissue

Microscopic Characteristics in Pathological Condition

Periodic Acid-Silver Methenamine (PASM)

Periodic Acid, Silver Methenamine

Basement membranes

Glomerulonephritis

Basement membranes - Black stain

Thickening and disruption of basement membranes

Ziehl-Neelsen

Carbol Fuchsin, Acid Alcohol

Tissues with Mycobacteria

Tuberculosis, Leprosy

Acid-fast organisms - Red stain

Presence of acid-fast bacteria, granuloma formation

Von Ebner Stain

Von Ebner's solution

Salivary glands

Salivary gland diseases

Salivary gland secretion - Pink stain

Visualization of salivary gland secretions

Fontana-Masson

Silver nitrate, Gold chloride

Pigment-containing cells

Melanoma, Neuroendocrine tumors

Melanin granules - Black stain, Other structures - Pink

Detection of melanin granules in pigmented tissues

Saffron Stain

Saffron solution

Plant tissues

Plant histology

Differentiation of plant cell structures in tissues

 

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