Re: ganglia identification in colonoscopy biopsies
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From: | RSRICHMOND@aol.com |
To: | histonet@pathology.swmed.edu |
Reply-To: | |
Date: | Thu, 02 Sep 1999 18:01:24 -0400 (EDT) |
Content-Type: | text/plain; charset="us-ascii" |
I'm a little late to this discussion, but maybe I can bring the perspective
of a pathologist it.
The pathologist is looking, not for ganglion cells, but for the LACK of
ganglion cells in portions of bowel biopsied or resected for colonic
aganglionosis (Hirschsprung's disease). Obviously it's difficult to prove a
negative.
Usually H & E will do the job. The non-specific esterase technique one of you
described (with naphthyl acetate as the substrate) is extremely rapid, and
suitable for use at frozen section during surgery. It has the disadvantage
that it also demonstrates esterase activity in epithelial cells and
macrophages. Sometimes the distinctive nuclear morphology of ganglion cells
gets around this problem, but it's difficult to identify ganglion cells in
the submucosal (Meissner's) plexus. I have used this technique successfully
during surgery - a LONG time ago.
As far as I know, more specific techniques for cholinesterase are too slow
for frozen section use.
Bob Richmond
Samurai Pathologist
Knoxville TN
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