CN109975090A - A kind of preparation method of thyroid gland, mammary gland Fine-needle puncture cell tissue block - Google Patents

A kind of preparation method of thyroid gland, mammary gland Fine-needle puncture cell tissue block Download PDF

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CN109975090A
CN109975090A CN201910297308.XA CN201910297308A CN109975090A CN 109975090 A CN109975090 A CN 109975090A CN 201910297308 A CN201910297308 A CN 201910297308A CN 109975090 A CN109975090 A CN 109975090A
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centrifuge tube
hydrothorax
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needle puncture
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CN109975090B (en
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马晓丽
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N1/00Sampling; Preparing specimens for investigation
    • G01N1/28Preparing specimens for investigation including physical details of (bio-)chemical methods covered elsewhere, e.g. G01N33/50, C12Q
    • G01N1/30Staining; Impregnating ; Fixation; Dehydration; Multistep processes for preparing samples of tissue, cell or nucleic acid material and the like for analysis
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N1/00Sampling; Preparing specimens for investigation
    • G01N1/28Preparing specimens for investigation including physical details of (bio-)chemical methods covered elsewhere, e.g. G01N33/50, C12Q
    • G01N1/36Embedding or analogous mounting of samples

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Abstract

The present invention provides the preparation methods of a kind of thyroid gland, mammary gland Fine-needle puncture cell tissue block.The following steps are included: a, being in advance centrifuged non-infectious hydrothorax or ascites, hydrothorax or ascites supernatant are obtained;B, hydrothorax or ascites supernatant is taken to be injected into centrifuge tube;C, the thyroid gland of fine needle puncture or mammary gland sample are injected into centrifuge tube, are taken in 95% ethanol injection centrifuge tube immediately after;D, centrifuge tube is centrifuged to and is abandoned supernatant, obtains cell precipitate, 4% neutral buffered formalin fixer is then added, after the cell precipitate solidification in centrifuge tube, conventional embedding is carried out using paraffin organization sample disposal program.The unicellular no loss that preparation method of the invention can guarantee fragment of tissue and freely float, cytoplasm form and structure save well, can continuously or be repeatedly sliced, and are suitable for a variety of dyeing, to improve diagnosis effect.

Description

A kind of preparation method of thyroid gland, mammary gland Fine-needle puncture cell tissue block
Technical field
The present invention relates to cell tissue block preparation technical field, a kind of thyroid gland, mammary gland fine needle puncture are related in particular to The preparation method of cell tissue block.
Background technique
The disease incidence of thyroid cancer, breast cancer worldwide is in the trend rapidly risen year by year, wherein thyroid cancer Disease incidence is every year with 6% speed cumulative year after year.Average thyroid cancer incidence domestic at present is 7.7/10 ten thousand, in malignant tumour The 5th is occupied in disease incidence ranking.85% thyroid adenocarcinoma be papillary carcinoma (Papillary Thyroid Carcinoma, PTC).The biological behaviour that one kind of PTC is special is early stage generation area lymphatic metastasis.Although differentiated thyroid carcinoma more after Very well, but during nearly follow-up in 30 years, about 30% thyroid cancer patients can recur, and final subset of patients can die of first Shape gland cancer.Preoperative diagnosis thyroid cancer is mainly thyroid needle technology.
Thyroid needle is a kind of method that is easy, easy and can reaching pathological diagnosis to a certain extent.It punctures It is divided into fine needle and bodkin.Fine needle needle diameter 21-26G, coarse needle bioptic needle diameter 16-18G.Fine needle puncture, it is maximum not It is that specimen amount is few, thus is mostly used to prepare cell smear with putting, histological structure and intercellular matrix are most of or complete in sample Full missing, not accurate enough to the parting of tumour, this results in the maximum limitation of thin needle absorbing.Secondly, cell smear is only It can be carried out direct immunohistochemical staining, be not necessarily to antigen retrieval, but background coloration is shallower, target cell is dispersed in smear Distribution, rare numbers, and cytoclasis is be easy to cause during film-making, and there is the limitation for smearing slide quantity, examination Agent waste, cell smear not can be carried out multiple types antibody label and can not correct interpretation coloration result the problems such as, cause to examine Survey unstable result.
The existing document about cell block preparation method has very much, can generally be divided into direct method and indirect method, Connection is to have used the preparation method of host material.Indirect method includes following several: agar cell block the preparation method, fibrin ferment-blood Thick liquid cell block the preparation method and HistoGel the preparation method etc..Above method cell loss is less, and host material under corresponding condition may be used Cell is enlisted the services of wherein with the structure of " tangible ", be conducive to draw materials and is embedded.But density is larger after agar, HistoGel solidification, Organize inside and outside liquid to be not easy to permeate, thus to fixation, dehydration, saturating wax and etc. desired time it is longer, need to grope and operate It is complicated.And fibrin ferment-blood plasma is embedded with and may impact to the result of the experiments such as IHC or DNA extraction.
Currently, cytological samples obtained by fine-needle aspiration makes cell tissue block technology also due to thyroid gland, mammary gland isocellular particularity It is immature, it causes not promoting and applying.There is small cover etc. more than document report Friendship Hospital to use pen-holding type puncture needle (diameter 0.8mm), thyroid cell tissue block is made using new albumen alcohol solidification-formaldehyde fixation, puncture needle used is relatively Slightly, and since sample is placed on sheet glass, cell is caused to have crush injury, cell membrane and nuclear structures in the process assembled It is unintelligible, influence diagnosis and further immunohistochemistry coloring effect.In summary, seek a kind of preferable fine needle puncture preparation first Shape gland, the method for mammary glandular cell tissue block is painful for mitigation patient's puncture, improves the accuracy and efficiency of diagnosis with important Meaning.
Summary of the invention
The purpose of the present invention is intended to provide the preparation method of a kind of thyroid gland, mammary gland Fine-needle puncture cell tissue block, with solution Certainly existing tissue block preparation method is not suitable for the thyroid gland of fine needle puncture, mammary gland sample and cell smear and is difficult to Accurate Diagnosis Problem.
The present invention is that technical solution used by realizing object above is as follows: a kind of thyroid gland, mammary gland Fine-needle puncture cell The preparation method of tissue block, comprising the following steps:
A, non-infectious hydrothorax or ascites are centrifuged in advance, obtain hydrothorax or ascites supernatant;
B, it takes disposable 10mL centrifuge tube to cut short half, 0.5 ~ 2mL hydrothorax or ascites supernatant is taken to be injected into centrifuge tube;
C, the thyroid gland of fine needle puncture or mammary gland sample are injected into centrifuge tube, puncturing tissue is in hydrothorax or ascites supernatant It is aggregated stripped or blocky, takes in the ethanol injection centrifuge tube of 0.5 ~ 2mL 95% immediately after immediately;
D, centrifuge tube is centrifuged to and is abandoned supernatant, obtains cell precipitate, 4% neutral buffered formalin fixer is then added, wait be centrifuged After cell precipitate in pipe fixes 3 ~ 5h, taking-up is put into embedding paper, is subsequently placed in embedding box for dehydrating, using paraffin organization mark Present treatment program carries out conventional embedding.
In step a, preliminary examination, method are as follows: by 0.5 ~ 2mL hydrothorax or ascites are carried out to obtained hydrothorax or ascites supernatant Supernatant is injected into centrifuge tube, and 95% ethyl alcohol of same volume is then added, abandons supernatant after centrifugation, obtains sediment, it is added 5 ~ 4% neutral buffered formalin fixer of 10 times of sediment volumes, after object solidification to be precipitated, taking-up is put into embedding paper, is subsequently placed in In embedding box for dehydrating, using the conventional embedding of paraffin organization sample disposal program progress, sealing microscopy after sliced, HE dyeing, really Protect the cell-free ingredient of microscopy.
In step c, syringe needle used in the fine needle puncture is 23G, diameter 0.573mm.
In step c, the volume of used 95% ethyl alcohol is identical as the volume of hydrothorax or ascites supernatant.
It, then will be in the puncturing tissue injection centrifuge tube in syringe needle with hydrothorax or ascites Syringe needle Irrigator in step c.
In step d, centrifugal condition is that 2000 r/min are centrifuged 10 min;4% neutral buffered formalin fixer being added Volume is 5 ~ 10 times of centrifugation gained cell precipitate volume.
In the fine-needle aspiration of thyroid nodules sample that the present invention collects, after the albumen of Pleural effusions is enlisted the services of, even if sample is thin Born of the same parents' amount less or cell is loose, fragment of tissue and what is freely floated unicellular also can guarantee no loss, cytoplasm morphology and knot Structure saves well, and core ditch and kernel are also apparent, to improve diagnosis effect.Simultaneously using immunocytochemistry cell membrane or carefully The antibody of cytoplasm coloring, can interpretation;The detection in terms of gene can be done;And Pleural effusions pathology department can all have daily, not have Cost is conveniently easy to get, in terms of not also being involved in the problems, such as the ethics such as patient privacy.
Cell tissue block manufacturing technology of the invention consolidates thyroid gland, breast puncture cytology and sample in histology Fixed, processing, paraffin embedding techniques organically combine, and have not only saved the good cell morphology characteristic of puncturing tissue, but also can be further Tectology feature is excavated, while the further research for being convenient for the detection of the auxiliary such as immunocytochemical stain is used, it is real Trampling proves that its application effect is good, and can save thyroid gland BRAFV600E testing cost, forms certain economy and society's effect Benefit.This cell block technology can effectively apply in daily cytology work, also be suitable for routinely carrying out in situation of all-level hospitals.
The present invention using Pleural effusions as carrier, cell tissue block can by continuously or repeatedly slice using Multiple Antibodies (including BRAFV600E the dyeing such as immunohistochemistry) is carried out, and cell block and white glue piece can be with long-term preservations in case carry out more in the future Detection in terms of more conventional detections or even molecule, this, which is just compensated for, not can be carried out multiple multiple types dyeing to cell smear Inadequate natural endowment.In addition, technique can be applied to the production of the other systems mass such as lymph node, lung, pancreas, parotid gland.
Detailed description of the invention
Fig. 1 is the thyroid cell aspect graph in the embodiment of the present invention 1 after HE is dyed under different amplification.
Fig. 2 is the thyroid cell aspect graph of the 20x10 after immunohistochemical staining in the embodiment of the present invention 1, wherein figure It (a) is CK19 film strong positive, figure (b) is TTF-1 core strong positive.
Fig. 3 is the thyroid cell aspect graph in comparative example 1 after HE is dyed.
Fig. 4 is the mammary glandular cell aspect graph in the embodiment of the present invention 2 after HE is dyed under different amplification.
Specific embodiment
Below with specific embodiment detailed description of the present invention preparation method.
Embodiment 1: the preparation of fine-needle aspiration of thyroid nodules cell tissue block.
One, preliminary experiment step: negated infectiousness hydrothorax obtains supernatant 100mL after being centrifuged twice, take respectively 0.5mL, 1mL, 1.5mL, 2mL supernatant respectively inject in disposable 10mL centrifuge tube, and 95% ethyl alcohol of equal volume is added, mixes gently, 10 min are centrifuged with 2000 r/min, observe the Mass volum size of precipitating, take the packet of the height about 0.3cm of centrifugation bottom of the tube Block (volume is about 1.0cm*1.0cm*0.3cm) is spare as sample, and the mass discarding of other centrifuge tubes does not have to.
The sample of selection is abandoned into supernatant, adds 5 ~ 10 times of 4% neutral buffered formalin fixer.It, will be in centrifuge tube after to be solidified The cell precipitate taking-up of solidification is put into embedding paper, is subsequently placed into embedding box for dehydrating, using paraffin organization sample disposal program (60 DEG C of 4% neutral buffered formalin fixes 90 min × 2 time, 60 DEG C of 60 min × 5 time of dehydrated alcohol, and 60 DEG C 60 min × 3 time of dimethylbenzene, 60 DEG C of 50 min × 4 time of paraffin) conventional embedding, slice, HE dyeing are carried out, and seal Gu microscopy.A large amount of powder dye substances, cell-free ingredient are seen under mirror.
Two, experimental procedure: taking disposable 10mL centrifuge tube to cut off half, injects the hydrothorax supernatant 0.5mL through microscopy (mass that preliminary experiment can form height about 0.3cm).The 23G thyroid needle syringe needle hydrothorax or ascites of fine needle puncture are rushed It washes, then by the puncture sample injection centrifuge tube in syringe needle, puncturing tissue is aggregated stripped or blocky immediately.
It takes 0.5mL95% ethyl alcohol to inject in centrifuge tube at once, centrifuge tube is centrifuged 5 min with 2000 r/min, in abandoning Clearly, add 5 ~ 10 times of 4% neutral buffered formalin fixer, centrifuge tube inner cell sediment after 3h-5h, taking-up is put into embedding Paper is subsequently placed into embedding box for dehydrating, carries out conventional embedding, slice, HE dyeing etc. using paraffin organization sample disposal program, and Sealing microscopy.Tissue block microscopic examination result is as depicted in figs. 1 and 2.In 2x10 it can be seen from HE slice, cell is very rich, number Mesh is up to up to ten thousand or more;In 4x10, it can be seen that the cell number of mamilla and folliculus segment, folliculus segment is greater than 10 It is a;In 10x10, nucleus is transparent, crowded;In 20x10, cytoplasm is intact, and nucleus ditch is visible;In 40x10, nucleus Ditch is clear, thickening of nuclear membrane, it is seen that 1-2 kernel;In 100x10, oil mirror, core ditch is apparent, and kernel understands, cytoplasm saves Completely.
Comparative example 1: blood plasma-fibrin ferment method prepares thyroid cell tissue block.
10mL centrifuge tube is taken, 4% neutral buffered formalin liquid is added, thyroid gland 23G syringe needle is punctured into sample and injects centrifuge tube It is interior, 5 min are centrifuged with 2000 r/min, abandon supernatant, then few drops of fresh human plasma suspension cell precipitatings are added thereto, Be added dropwise again it is blocking to its agglutination after few drops fibrin ferments mix, after taking precipitate is wrapped with lens wiping paper in merging embedded box, in 10% Property formalin in fix after 2h and carry out conventional dehydration embedding, microscopy, result is as shown in Figure 3.As seen from Figure 3, blood Solidification, cell component is few, and nucleus and cytoplasm structure are unintelligible, and it is relatively satisfactory thin to illustrate that blood plasma-blood coagulation enzyme process is difficult to ensure Born of the same parents' amount because the grumeleuse that the combination of cell and blood plasma and fibrin ferment is formed be usually it is sparse, loose, hold on H & E slice Easy flake, and cell concentration is considerably less.
Embodiment 2: the preparation of mammary gland Fine-needle puncture cell tissue block.
One, preliminary experiment step: negated infectiousness ascites obtains supernatant 100mL after being centrifuged twice, take respectively 0.5mL, 1mL, 1.5mL, 2mL supernatant respectively inject in disposable 10mL centrifuge tube, and 95% ethyl alcohol of equal volume is added, mixes gently, 5 min are centrifuged with 2000 r/min, observe the Mass volum size of precipitating, take the packet of the height about 0.3cm of centrifugation bottom of the tube Block (volume is about 1.0cm*1.0cm*0.3cm) is spare as sample, and the mass discarding of other centrifuge tubes does not have to.
The sample of selection is abandoned into supernatant, adds 5 ~ 10 times of 4% neutral buffered formalin fixer.It, will be in centrifuge tube after to be solidified The cell precipitate taking-up of solidification is put into embedding paper, is subsequently placed into embedding box for dehydrating, using paraffin organization sample disposal program, Conventional embedding, slice, HE dyeing, and sealing microscopy.A large amount of powder dye substances, cell-free ingredient are seen under mirror.
Two, experimental procedure: taking disposable 10mL centrifuge tube to cut off half, injects the ascites supernatant 0.5mL through microscopy (mass that preliminary experiment can form height about 0.3cm).The 23G breast puncture syringe needle hydrothorax or ascites of fine needle puncture are rinsed, Then by the puncture sample injection centrifuge tube in syringe needle, puncturing tissue is aggregated stripped or blocky immediately.
It takes 0.5mL95% ethyl alcohol to inject in centrifuge tube at once, centrifuge tube is centrifuged 10 min with 2000 r/min, in abandoning Clearly, add 5 ~ 10 times of 4% neutral buffered formalin fixer, centrifuge tube inner cell sediment after 3h-5h, taking-up is put into embedding Paper is subsequently placed into embedding box for dehydrating, carries out conventional embedding, slice, HE dyeing etc. using paraffin organization sample disposal program, and Sealing microscopy.Tissue block microscopic examination result is as shown in Figure 4.Cell concentration is abundant as seen from Figure 4, and nucleus has been saved with cytoplasm It is good.

Claims (6)

1. the preparation method of a kind of thyroid gland, mammary gland Fine-needle puncture cell tissue block, characterized in that the following steps are included:
A, non-infectious hydrothorax or ascites are centrifuged in advance, obtain hydrothorax or ascites supernatant;
B, it takes disposable 10mL centrifuge tube to cut short half, 0.5 ~ 2mL hydrothorax or ascites supernatant is taken to be injected into centrifuge tube;
C, the thyroid gland of fine needle puncture or mammary gland sample are injected into centrifuge tube, puncturing tissue is in hydrothorax or ascites supernatant It is aggregated stripped or blocky, takes in the ethanol injection centrifuge tube of 0.5 ~ 2mL 95% immediately after immediately;
D, centrifuge tube is centrifuged to and is abandoned supernatant, obtains cell precipitate, 4% neutral buffered formalin fixer is then added, wait be centrifuged After cell precipitate in pipe fixes 3 ~ 5h, taking-up is put into embedding paper, is subsequently placed in embedding box for dehydrating, using paraffin organization mark Present treatment program carries out conventional embedding.
2. the preparation method of thyroid gland according to claim 1, mammary gland Fine-needle puncture cell tissue block, characterized in that step In rapid a, preliminary examination, method are carried out to obtained hydrothorax or ascites supernatant are as follows: inject 0.5 ~ 2mL hydrothorax or ascites supernatant Into centrifuge tube, 95% ethyl alcohol of same volume is then added, abandons supernatant after centrifugation, obtain sediment, 5 ~ 10 times of precipitatings are added 4% neutral buffered formalin fixer of object product, after object solidification to be precipitated, taking-up is put into embedding paper, is subsequently placed in embedding box for dehydrating In, conventional embedding, sealing microscopy after sliced, HE dyeing, it is ensured that microscopy is without thin are carried out using paraffin organization sample disposal program Born of the same parents' ingredient.
3. the preparation method of thyroid gland according to claim 1, mammary gland Fine-needle puncture cell tissue block, characterized in that step In rapid c, syringe needle used in the fine needle puncture is 23G, diameter 0.573mm.
4. the preparation method of thyroid gland according to claim 1, mammary gland Fine-needle puncture cell tissue block, characterized in that step In rapid c, the volume of used 95% ethyl alcohol is identical as the volume of hydrothorax or ascites supernatant.
5. the preparation method of thyroid gland according to claim 1, mammary gland Fine-needle puncture cell tissue block, characterized in that step It, then will be in the puncturing tissue injection centrifuge tube in syringe needle with hydrothorax or ascites Syringe needle Irrigator in rapid c.
6. the preparation method of thyroid gland according to claim 1, mammary gland Fine-needle puncture cell tissue block, characterized in that step In rapid d, centrifugal condition is that 2000 r/min are centrifuged 10 min;The volume for 4% neutral buffered formalin fixer being added is centrifugation 5 ~ 10 times of gained cell precipitate volume.
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Cited By (3)

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Publication number Priority date Publication date Assignee Title
CN112577802A (en) * 2020-10-15 2021-03-30 香港大学深圳医院 Pleural effusion cast-off cell slice staining method
CN113074996A (en) * 2021-03-15 2021-07-06 陈建华 Plasma coagulation cell mass method and clinical application thereof
CN114441265A (en) * 2022-01-20 2022-05-06 南京市中医院 Preparation method of cell wax block and application of cell wax block in thyroid puncture smear

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EP2542883A1 (en) * 2010-03-04 2013-01-09 Ventana Medical Systems, Inc. Processing system for processing specimens using acoustic energy
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CN105606413A (en) * 2015-10-16 2016-05-25 中南大学 Preparation method of renal biopsy electron microscopy sample
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Cited By (4)

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Publication number Priority date Publication date Assignee Title
CN112577802A (en) * 2020-10-15 2021-03-30 香港大学深圳医院 Pleural effusion cast-off cell slice staining method
CN113074996A (en) * 2021-03-15 2021-07-06 陈建华 Plasma coagulation cell mass method and clinical application thereof
CN114441265A (en) * 2022-01-20 2022-05-06 南京市中医院 Preparation method of cell wax block and application of cell wax block in thyroid puncture smear
CN114441265B (en) * 2022-01-20 2023-09-12 南京市中医院 Preparation method of cell wax block and application of cell wax block in thyrocentesis smear

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