Effectiveness of Using Methylene Blue Dyes in Papanicolaou Staining in Cytology of Ascites Fluid

Papanicolaou staining is routinely used in staining ascitic fluid to identify malignant cells. However, pale nucleus arise as a problem associated with Harris hematoxylin, causing the sample to be hard to see under microscope. Methylene blue can be an alternative stain targeting nucleus in fluid sam...

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Main Authors: Acivrida Mega Charisma, Melati Indah Permatasari, Yohanes Ardian Kapri Negara
Format: Article
Language:English
Published: Poltekkes Kemenkes Jakarta III 2025-03-01
Series:Jurnal Ilmu dan Teknologi Kesehatan
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Online Access:https://ejurnal.poltekkesjakarta3.ac.id/index.php/jitek/article/view/1803
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author Acivrida Mega Charisma
Melati Indah Permatasari
Yohanes Ardian Kapri Negara
author_facet Acivrida Mega Charisma
Melati Indah Permatasari
Yohanes Ardian Kapri Negara
author_sort Acivrida Mega Charisma
collection DOAJ
description Papanicolaou staining is routinely used in staining ascitic fluid to identify malignant cells. However, pale nucleus arise as a problem associated with Harris hematoxylin, causing the sample to be hard to see under microscope. Methylene blue can be an alternative stain targeting nucleus in fluid sample.   This study aims to evaluate the effectiveness of methylene blue in Papanicolaou staining for the cytology of ascitic fluid. The research uses an experimental approach by preparing four smears from each of 6 ascitic fluid samples obtained from the Laboratory of the Faculty of Medicine, at Airlangga University. The four smears were stained differently, consisting of Papanicolaou staining as control, and methylene blue replacing Harris hematoxylin with concentration of 5%, 10% and 15%. Slides were graded for its morphology with quality scores of 1,2,3 and 4, followed by statistical analysis. Based on the results of the Kruskal-Wallis test, the Sig value was 0.001, which was <0.005, showing difference between control and experimental group. Quality assessment revealed slides stained with 5% methylene blue solution to have clear shape of the cell nucleus, cytoplasm and the shape of the cell compared with slides stained with 10% and 15%. Hence, it can be concluded that 5% methylene blue solution can be used as an alternative solution.
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spelling doaj-art-7e28b062eef64c8b9dcdde4eee1c8b9b2025-08-20T03:14:36ZengPoltekkes Kemenkes Jakarta IIIJurnal Ilmu dan Teknologi Kesehatan2338-90952338-91092025-03-01122175 – 181175 – 18110.32668/jitek.v12i2.18031803Effectiveness of Using Methylene Blue Dyes in Papanicolaou Staining in Cytology of Ascites FluidAcivrida Mega Charisma0Melati Indah Permatasari1Yohanes Ardian Kapri Negara2Universitas Anwar MedikaUniversitas Anwar MedikaUniversitas Anwar MedikaPapanicolaou staining is routinely used in staining ascitic fluid to identify malignant cells. However, pale nucleus arise as a problem associated with Harris hematoxylin, causing the sample to be hard to see under microscope. Methylene blue can be an alternative stain targeting nucleus in fluid sample.   This study aims to evaluate the effectiveness of methylene blue in Papanicolaou staining for the cytology of ascitic fluid. The research uses an experimental approach by preparing four smears from each of 6 ascitic fluid samples obtained from the Laboratory of the Faculty of Medicine, at Airlangga University. The four smears were stained differently, consisting of Papanicolaou staining as control, and methylene blue replacing Harris hematoxylin with concentration of 5%, 10% and 15%. Slides were graded for its morphology with quality scores of 1,2,3 and 4, followed by statistical analysis. Based on the results of the Kruskal-Wallis test, the Sig value was 0.001, which was <0.005, showing difference between control and experimental group. Quality assessment revealed slides stained with 5% methylene blue solution to have clear shape of the cell nucleus, cytoplasm and the shape of the cell compared with slides stained with 10% and 15%. Hence, it can be concluded that 5% methylene blue solution can be used as an alternative solution.https://ejurnal.poltekkesjakarta3.ac.id/index.php/jitek/article/view/1803cytologyascitic fluidmethylene bluepapanicolaou staining
spellingShingle Acivrida Mega Charisma
Melati Indah Permatasari
Yohanes Ardian Kapri Negara
Effectiveness of Using Methylene Blue Dyes in Papanicolaou Staining in Cytology of Ascites Fluid
Jurnal Ilmu dan Teknologi Kesehatan
cytology
ascitic fluid
methylene blue
papanicolaou staining
title Effectiveness of Using Methylene Blue Dyes in Papanicolaou Staining in Cytology of Ascites Fluid
title_full Effectiveness of Using Methylene Blue Dyes in Papanicolaou Staining in Cytology of Ascites Fluid
title_fullStr Effectiveness of Using Methylene Blue Dyes in Papanicolaou Staining in Cytology of Ascites Fluid
title_full_unstemmed Effectiveness of Using Methylene Blue Dyes in Papanicolaou Staining in Cytology of Ascites Fluid
title_short Effectiveness of Using Methylene Blue Dyes in Papanicolaou Staining in Cytology of Ascites Fluid
title_sort effectiveness of using methylene blue dyes in papanicolaou staining in cytology of ascites fluid
topic cytology
ascitic fluid
methylene blue
papanicolaou staining
url https://ejurnal.poltekkesjakarta3.ac.id/index.php/jitek/article/view/1803
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AT melatiindahpermatasari effectivenessofusingmethylenebluedyesinpapanicolaoustainingincytologyofascitesfluid
AT yohanesardiankaprinegara effectivenessofusingmethylenebluedyesinpapanicolaoustainingincytologyofascitesfluid