STANDARD OPERATING PROCEDURE FOR IRON STAINING OF TISSUE SECTIONS AND SAMPLES

1.0 Purpose

To establish a standardized procedure for iron staining of tissue sections and smears.

2.0 Scope

Applicable to all tissue sections and smears received in the Surgical Pathology Cytopathology section for iron staining.

3.0 Introduction

Potassium Ferrocyanide-HCL staining method is used to detect iron in tissues and smears.

4.0 Principle

This reaction is considered the first classical histochemical reaction. Treatment with an acid ferrocyanide solution results in the marking of ferric iron in the form of hydroxide (Fe(OH)) by dilute hydrochloric acid. The ferric iron then reacts with a dilute Potassium Ferrocyanide solution to produce an insoluble blue compound, ferric Ferrocyanide.


5.0 Analytical Measuring Range and Limit of Detection

Not Applicable.

6.0 Responsibility

  • Technical staff
  • Pathologist

7.0 Abbreviations

  • HCL: Hydrochloric acid

8.0 Requirements

  • Kit Reagents:
    • 0.2% Aqueous Potassium Ferrocyanide
    • 0.2% HCL
    • 0.1% Eosin
    • Xylene
    • Absolute Alcohol

9.0 Precautions

  • Handle all specimens with gloves and a mask.
  • Handle all instruments with care to prevent injury.

10.0 Limitations & Interferences

Not Applicable.

11.0 Documentation

  • Daily routine register
  • Special stains log/register

12.0 Instructions

12.1 Pre Analytical Steps

  • Sample preparation
  • Reagent preparation

12.1.1 Working Solution

Mix equal volumes of 0.2% aqueous Potassium Ferrocyanide and 0.2% HCL just before use.

12.2 Analytical Steps

  • 12.2.1 Bring sections down to water by dipping in two changes of xylene to remove the wax and two changes of alcohol to remove xylene.
  • 12.2.2 Wash in running tap water.
  • 12.2.3 Treat with working solution for 30 minutes.
  • 12.2.4 Wash in running tap water.
  • 12.2.5 Counterstain with 0.1% eosin for 30 seconds.
  • 12.2.6 Dehydrate, clear, mount, and label.
  • 12.2.7 Submit the slides to the pathologist for reporting.

12.3 Quality Control and Assurance

  • 12.3.1 Known positive controls are run with each batch.

12.4 Calibration and Calibration Verification

Not Applicable.

12.5 Storage of Samples

  • Slides are stored for 10 years.

13.0 Reference Range

Not Applicable.

14.0 Critical Value

Not Applicable.

15.0 Reporting of Results and Interpretation

Iron stains a Prussian blue color.

16.0 Contingency Plan

In case of reagent or manpower shortage or instrument breakdown, suitably trained backup staff are available.

17.0 References

Bancroft, J.D., & Gamble, M. (2007). Theory and Practice of Histological Techniques (6th ed.).

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