2014
DOI: 10.4103/0973-029x.141346
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Artefacts in histopathology

Abstract: Histopathology is the science of slide analysis for the diagnostic and research purposes. However, sometimes the presence of certain artefacts in a microscopic section can result in misinterpretations leading to diagnostic pitfalls that can result in increased patient morbidity. This article reviews the common artefacts encountered during slide examination alongside the remedial measures which can be undertaken to differentiate between an artefact and tissue constituent.

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Cited by 167 publications
(203 citation statements)
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“…Shrinkage is almost unavoidable and thereby introducing possibly the most significant artifact of a histological procedure. Tissues fixed in formaldehyde and embedded in paraffin wax have been reported to shrink up to 33% [61], whereas other studies reported even stronger shrinkage when tissues were subjected to fixation, cryoprotection, or embedding routines [62, 63]. Furthermore, some tumors exhibited large central necrotic areas and impression was that these necrotic tumors were even more prone to shrinkage artifacts in our dataset.…”
Section: Discussionmentioning
confidence: 71%
“…Shrinkage is almost unavoidable and thereby introducing possibly the most significant artifact of a histological procedure. Tissues fixed in formaldehyde and embedded in paraffin wax have been reported to shrink up to 33% [61], whereas other studies reported even stronger shrinkage when tissues were subjected to fixation, cryoprotection, or embedding routines [62, 63]. Furthermore, some tumors exhibited large central necrotic areas and impression was that these necrotic tumors were even more prone to shrinkage artifacts in our dataset.…”
Section: Discussionmentioning
confidence: 71%
“…Finally, loss of detail of vascular, nerves and glands structures may be observed. [20,21] Prolonged fixation may cause "bleaching artifact" giving an empty space appearance simulating sometimes vascular invasion. [22] Consequently, antigenicity may also be decreased, [23] probably due high pH level of formalin solution, fortunately, immunostainning was not affected in the under discussion case.…”
Section: Discussionmentioning
confidence: 99%
“…The biopsies may not be representative of the diseased tissue, as they cover only a small portion of the tissue, and thus are subject to sampling errors. In addition, staining protocols involve processing steps which often deform or alter the tissue from the original tissue structure [1, 12]. Finally, the tissue sections are typically imaged in 2D and so provide a limited view of collagen organization across the whole tissue, preventing robust 3D quantitative analysis.…”
Section: Cellular–scale Imagingmentioning
confidence: 99%