Variable fidelity of tissue-marking dyes in surgical pathology.

Abstract:

AIMS:Pathology specimens often contain important margins that must be identified from gross examination of specimens through to microscopic examination. Commonly, unique colours of tissue-marking dye (TMD) are applied to each margin, which facilitates both macroscopic and microscopic identification. Various techniques have been described, but the colour endurance and fidelity of TMDs following special tissue processing have not been addressed. The aim of this study was to evaluate the performance of various TMDs through decalcification and immunohistochemistry (IHC) protocols. METHODS AND RESULTS:Samples of TMDs from two manufacturers and acrylic artists' inks were obtained in seven colours and applied to excess non-diagnostic surgical pathology tissue. Tissues were subjected to a decalcification protocol or directly processed in a routine fashion. The presence and colour of TMD or ink were assessed on routine H&E sections and following IHC. Of the colours that reliably survived routine processing, loss of colour and colour change following decalcification and IHC protocols were seen with one manufacturer's product. CONCLUSIONS:TMD may lose or change its colour during special tissue processing. This previously unreported artefact may lead to potentially serious errors in margin assessment and reporting. Laboratories should evaluate TMDs and inks through routine processing, decalcification, and IHC protocols, to ensure colour endurance and fidelity.

journal_name

Histopathology

journal_title

Histopathology

authors

Williams AS,Dakin Haché K

doi

10.1111/his.12328

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

896-900

issue

6

eissn

0309-0167

issn

1365-2559

journal_volume

64

pub_type

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