Re: silver dtctn: Suggstn, Ref & Anecdote
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From: | "J. A. Kiernan" <jkiernan@julian.uwo.ca> |
To: | "Monteverde, Cheryl A BACH-Ft Wainwright" <Cheryl.Monteverde@nw.amedd.army.mil> |
Reply-To: | |
Content-Type: | TEXT/PLAIN; charset=US-ASCII |
On Tue, 28 Mar 2000, Monteverde, Cheryl A BACH-Ft Wainwright wrote:
> I have a surgeon that has submitted a colon biopsy, and would like
> me to stain for silver. I have not found anything in the usual sources, nor
> has my pathologist (with 30 years experience) heard of such a thing. I
> would appreciate any suggestions you might have.
Suggestion.
I suggest that the surgeon wanted it staining WITH silver,
perhaps to demonstrate enteroendocrine cells or neurons and
their processes. A British pathologist, Barbara Smith,
published a book on GI neuropathology, done largely with
traditional silver methods, in the 1960s. Easier and
(probably) better methods have been available for many
years, and most are not silver methods.
Reference.
The choice of a silver technique depends on what you're
supposed to be looking for. A quite recent whole issue of
J. Histotechnol. (in Vol 19, 1996) is devoted to silver
staining methods. All the currently used techniques
(especially for pathology) are reviewed, and there are
detailed instructions for most of them.
Anecdote. (Skip it if it's boring.)
There is a rare condition of chronic silver poisoning
called argyria. I saw a case in 1967: an old lady then,
whose family physician had fed her silver nitrate for
several years in the 1920s - the only thing, it seemed,
that would relieve her indigestion. Her skin was bluish
grey, like best quality Welsh slate, except for a large
abdominal operation scar (from the 1940s), which was
lily-white. This lady died in hospital (I think she
had mitral incompetence; nothing to do with the argyria)
and at her necropsy the pathologist was eager to see
which internal organs would be darkened with silver.
The thyroid was jet black, but everything else was
normally coloured. It was all rather disappointing at
the time, in a way, but has provided me with food for
thought, on & off, ever since. It's easy to explain
the skin and not too difficult to think of a reason
why the internal organs were not darkly silvered.
But why was the thyroid black?
End of anecdote.
Final bit (with another ref).
I can't believe anyone would do a colon biopsy to make
a diagnosis of argyria. For what it's worth, silver
deposits in tissue can be detected with great sensitivity
but low specificity by Timm's sulphide-silver method and
its various later variants, which have a variety of names.
Pearse's Histochemistry (4th edn, vol 2) has a short
section on silver in the "Inorganic" chapter.
The End.
John A. Kiernan,
Department of Anatomy & Cell Biology,
The University of Western Ontario,
LONDON, Canada N6A 5C1
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