HEPATIC INTRACELLULAR OSMIOPHILIC DROPLETS : Effect of Lipid Solvents during Tissue Preparation.

Lipid solvent extraction of aldehyde-fixed hepatic tissue of rats caused disappearance of all intravascular and hepatocellular osmiophilic droplets normally present, thus indicating their lipid content. Intramitochondrial dense granules and osmiophilic droplets in lysosomes also disappeared after this treatment. Lipid solvents extracted 43.8 to 92.6% of the radioactivity from aldehyde-fixed rat liver with C(14)-labeled lipids. Only 0.7 to 5.8% of the radioactivity was extracted when the hepatic proteins were labeled. When tissue was fixed with OsO(4), the lipid solvents extracted only 0.7 to 7.2% of the radioactivity from lipid-labeled liver and only 0 to 0.7% when proteins were labeled. Thin layer chromatography of the lipid solvents used in extraction of formaldehyde-fixed tissue revealed that triglyceride, phospholipid, and cholesterol and other lipid classes had been removed. However, acetone extracted less phospholipids than did ethanol or methanol-chloroform. During fat absorption the number and size of osmiophilic droplets increased in the nongranular endoplasmic reticulum. In animals fasted up to 5 days, 250-A osmiophilic particles were still present in the Golgi vesicles, other cytoplasmic vesicles, and in the space of Disse. These were considered possibly to represent lipoprotein being synthesized in the liver cell and secreted into the blood.

A computerized word-processing and data system for histology in a private medical laboratory.

This report describes the use of a word-processing micro-computer, the Lanier Text Editor, for preparation of surgical tissue reports. Gross and microscopic description formats are stored on floppy disks, which may easily be completed and edited on a cathode-ray tube (CRT) for rapid computerized printing. Also described is the use of a PDP 8/E mini-computer for entry, storage, and manipulation of historic, demographic and diagnostic data, printing of numeric and alphabetic listings, cross-indexing of cases by diagnosis, and the accumulation of data for direct patient or physician billing.

Algorithm-derived, computer-generated interpretive comments in the reporting of laboratory tests.

The volume of laboratory and other data that physicians encounter daily is more than most can mentally process without oversight or error. Routine use of computer-generated reminders is one solution to this problem that is now widely suggested. We report our experience with the daily use of a user-written program of algorithm-derived, computer-generated comments in the reporting of chemical profiles and routine thyroid function tests in a busy medium-sized privately owned independent clinical laboratory.

A computer system for cytology in a private laboratory using a PDP 8/E minicomputer.

A computer software package written in Dibol for a PDP 8/E computer is described that is designed for the needs of the cytology department of a moderate-sized private medical laboratory. Computerized accessioning of cases, report preparation and printing, historical filing, activity summary reports, and direct patient and physician billing are provided by the relatively inexpensive system. The software has been in use for over two years in our cytology department and has resulted in increased efficiency, cost-effectiveness, and quality of reports.

Electron microscopic study of the role of lipid micelles in intestinal fat absorption.

In vitro micellar solutions of oleic acid, monoolein, and sodium taurocholate were studied electron microscopically. They contained osmiophilic particles 30-200A in diameter. Osmium staining alone was sufficient to demonstrate the particles; lead staining had little effect on their appearance. The intestinal intraluminal contents from rats during the absorption of unsaturated fat also contained osmiophilic particles, 40-200A, and numerous similar particles were found between the microvilli and engaged in the fine filamentous coating of microvilli. In the lumen only, larger emulsion-type droplets were also seen. The small particles were demonstrable in osmium-fixed material, with or without lead stains, and staining with lead only increased contrast of the particles. Spherules measuring about 1000A in diameter with walls about 100A thick were observed in the terminal web during fat absorption, at which time they were slightly larger and more numerous than in fasting rats. It is proposed that during fat absorption micellar particles are engaged in the filamentous material covering the microvilli and then enter the absorptive cell either by molecular diffusion across the plasma membrane or by being incorporated into the walls of thick-coated spherules which then pass into the subapical cytoplasm.

Giant liposarcoma of the spermatic cord.

Liposarcoma of the spermatic cord is rare and easily masquerades as a more common benign neoplasm of the spermatic cord. If neglected, these malignancies may grow to tremendous size and become formidable management problems. The treatment of this malignancy is orchiectomy and en bloc removal of the tumor. More radical operative therapy has not generally proved beneficial. Adjunctive therapy may be helpful in selected cases.