Variability of histology staining-request for input

From:AliNeumann@aol.com

Hi everyone, I am the director of a new small outpatient laboratory, and we have had a very persistent and recalcitrant problem with variability of staining (some sections light, others dark, especially on eosin but to a lesser degree hematoxylin).  We are soaking slides in xylene for 3 minutes in each of 3 bins with agitation, then staining them on a Varistain 24-4 with a regressive stain.  Our staining protocols have been:

1. 100% Alcohol 20 seconds
2. 100% Alcohol 10 seconds
3. 95% Alcohol    10 seconds
4. Tap Water 10 seconds
5. Hematoxylin 7 minutes
    (Protocol Harris mercury free non-acidified type)
6. Tap Water 20 seconds
7. Acid Alcohol 2 seconds
8. Tap Water 20 seconds
9. Ammonia Water 2 minutes
10. Tap Water 10 seconds
11. 95% Alcohol 10 seconds
12. Eosin             15 seconds
13. 95% Alcohol 10 seconds
14. 95% Alcohol 10 seconds
15. 100% Alcohol 20 seconds
16. 100% Alcohol 20 seconds


1.  100% Ethanol 40 seconds
2.  100% Ethanol 40 seconds
3.  95% Ethanol 40 seconds
4.  Tap water               60 seconds
5.  Hematoxylin 10 minutes
     ( Protocol Harris mercury free non-acidified  type)
6.  Tap water  (sink) 60 seconds
7.  Acid Alcohol 2 seconds
8.  Tap water  (sink) 60 seconds
9.  Ammonia water 2.5 minutes
10.  Tap water 5 minutes
11.  95% EtOH 1 minute
12.  Eosin 10  seconds
13.  95% EtOH 10 seconds
14.  95% EtOH 10 seconds
15.  100% EtOH 40 seconds
16.  100% EtOH 40 seconds

We have had the same problem with both protocols, and process mostly small skin biopsies.

Our acid and ammonia solutions are as follows:

1% acid alcohol   
2000 ml of 70% EtOH
5 ml  of HCl (hydrochloric acid)

1% Ammonia water
1980 cc tap water
40 ml of ammonium hydroxide

We have tried longer xylene pre-treatment with more agitation, and wiping off alcohol drops before removing the bin from the last alcohol, as well as various staining adjustments.  We process most of our tissue on a short 3 hour cycle however believe this problem has persisted even on overnight-processed tissue.
I would very much appreciate any advise any of you can give me on this problem.  Thanks very  much and have a happy holiday!  Alice Neumann M.D. Precision Pathology PC, Arvada CO  alineumann@aol.com  303-432-7855

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