The choice of methods will depend upon the source and nature of the
material, the object of the examination, the time-element and the
degree of responsibility involved. The cellular elements of all
pathologic fluids, secretions and excretions should be examined
in the fresh state as well as in fixed preparations. For the
demonstration of various chemical and morphologic features that are
lost or altered by processes of fixation and imbedding, and when a
rapid diagnosis is required, the examination of the material in its
fresh state or by the freezing method is indicated. When the freezing
method cannot be employed because of the changes in cells and tissue
produced by it, when very thin or serial sections are desired, when a
rapid diagnosis is not required, and when a very careful and minute
study is desired, with the application of various staining methods,
then the material should be fixed, hardened and imbedded and cut
upon a microtome. Whatever method is chosen, it must be borne in
mind, particularly in practical diagnostic work, that the portions
chosen for microscopic examination must represent the characteristic
anatomic structures of the tissue or organ, that living tissue be
included, that the pathologic condition be represented both in its
fully-developed state and at the transition-border between it and the
healthy tissue, and that when sections are cut the block or tissue
must be so oriented as to give the most comprehensive view of the
tissue and the pathologic process. To accomplish this fully it is
often necessary to make a number of blocks representing different
areas of the material, and to cut these in different planes.
CHAPTER XVII.
THE LABORATORY OUTFIT.
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