Electron Microscopy in Surgical Pathology
Utilization of paraformaldehyde or even formalin fixed surgical specimens in combination with rapid (24 hour) processing techniques allow for electron microscopic evaluation of a number of difficult diagnostic problems in histopathology. The principle diagnostic uses of electron microscopy at the present time are in the following areas: 1) Renal biopsies with deviations from the normal observed primarily in glomeruli (tubular abnormalities have been subjected to less study) including, degree of cellularity, abnormalities (primarily thickening) of the glomerular basement membrane, deposits of various sorts in juxtaposition or within the basement membrane, accumulations of mesangial matrix or “glomerular scar fiber,” cellular changes including fusion of foot processes, and more recently demonstration of viral agents in the following lesions; acute glomerulonephritis, lipoid nephrosis, chronic glomerulonephritis, focal glomerulonephritis, idiopathic membranous glomerulonephritis, lupus nephritis, diabetic glomerulosclerosis, eclampsia, and amyloidosis;