L.4 Embedding, Microtomy, Cryotomy Flashcards

1
Q

What is embedding in histology?

A

Embedding is the process of surrounding processed tissue in a solid medium, usually paraffin wax, to form a stable block for microtomy.

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2
Q

What is the primary goal of embedding?

A

The goal is to preserve orientation and enable thin sectioning for microscopic examination.

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3
Q

What is the first step in the embedding process?

A

Prepare Tissue.

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4
Q

What should be assessed when preparing tissue for embedding?

A

Tissue size, type, and required orientation.

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5
Q

What is the second step in the embedding process?

A

Embed the Tissue.

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6
Q

What is the purpose of using a mold in the embedding process?

A

To provide a shape and support for the tissue when surrounded by wax.

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7
Q

Fill in the blank: During embedding, you must use _______ to position the tissue in the wax.

A

forceps

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8
Q

What is the importance of orientation and positioning in embedding?

A

Ensures diagnostic features e.g. epithelium, margins are sectioned properly.

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9
Q

Why is flatness important during the embedding process?

A

Tissue must lie flat for clean, even sectioning.

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10
Q

What should be done if multiple tissues are embedded together?

A

All should be positioned flat, which can be challenging.

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11
Q

What does surrounding wax provide during sectioning?

A

Stability for sectioning.

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12
Q

What is a key quality control check during embedding?

A

Check for fixation or processing issues—soft tissue may need reprocessing.

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13
Q

What should be verified in quality control checks?

A

Correct number of pieces matches worksheet.

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14
Q

What is necessary to ensure stable block mounting?

A

Trim excess wax.

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15
Q

What is the purpose of microtomy?

A

To obtain thin sections (3–5 μm) for microscopy, allowing visualization of tissue at the cellular level.

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16
Q

What is the most common type of microtome?

A

Rotary microtome (manual, semi-, or fully-automated).

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17
Q

What type of blades does a rotary microtome use?

A

Disposable steel blades for wax sections.

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18
Q

What are the main parts of a microtome?

A
  • Chuck (holds the block)
  • Blade & blade holder
  • Advance/retract mechanism
  • Rotary handle
19
Q

What is the first step in the sectioning process?

A

Lock blade and insert cooled block into chuck.

20
Q

What should be done after inserting the block into the chuck?

A

Retract chuck until block is behind the blade.

21
Q

What is the purpose of advancing the block toward the blade in small increments?

A

To cut desired section thickness using rotary motion (usually 3–5 μm).

22
Q

What should be done to improve the quality of sections?

A
  • Cool blocks beforehand
  • Trim carefully to expose tissue face
  • Cut single sections, serials, or levels depending on analysis
23
Q

What is a special consideration for lymph nodes and renal biopsies?

A

Use a thickness of 2–3 μm.

24
Q

What thickness is recommended for brain tissue to ensure nerve visibility?

A

10–15 μm.

25
What is the cause of chattering in microtomy?
Hard block, blunt blade.
26
What is the fix for chattering?
Soften block, cool more, change blade.
27
What causes scoring in microtomy?
Damaged blade.
28
What should be done to fix scoring issues?
Replace blade, avoid calcified tissue.
29
What is the cause of bloody tissues during sectioning?
High blood content.
30
How can bloody tissues be fixed?
Soak in iced water.
31
What causes uneven thickness in sections?
Warm block.
32
What is the solution for uneven thickness?
Re-cool block.
33
What causes ribboning issues in microtomy?
Poor angle or tension.
34
How can ribboning issues be resolved?
Adjust blade or chuck angle.
35
What is the purpose of the 'Floating Out' process in histology?
Transfer to slides for further analysis and staining ## Footnote Involves using cold and warm baths to flatten sections before placing them on slides.
36
What are the steps involved in the 'Floating Out' process?
* Use cold water bath to flatten sections * Transfer to warm bath for final flattening * Pick up section onto adhesive glass slide * Ensure proper orientation before drying for staining
37
What is Cryotomy?
Cutting frozen tissue sections using a cryostat ## Footnote Used for rapid diagnosis or preservation of sensitive molecules.
38
What are the main uses of Cryotomy?
* Urgent diagnostics (intraoperative) * Lipid or enzyme preservation * Direct immunofluorescence (renal, skin) * Fresh or lightly fixed tissue
39
What is the process of Freezing & Sectioning in Cryotomy?
* Tissue embedded in OCT compound on a chuck * Frozen using: * Liquid nitrogen * Dry ice (CO₂) * Electrically cooled plates * Sectioned inside a cryostat at ~ –20°C * Transferred directly to slide
40
What components are included in a Cryostat?
* Anti-roll plate * Rotary microtome * Cooling chamber
41
What are the advantages of using Cryotomy?
* Fast diagnosis * Enzyme/lipid studies * Avoids fixation damage
42
What are the disadvantages of Cryotomy?
* Ice crystal artefacts * Lower section quality * Biohazard risk with fresh tissue
43
What are the applications of Cryotomy?
* Intraoperative margin evaluation * Rapid H&E staining * Pathologist review during surgery * Lipid and enzyme analysis * Immunofluorescence studies
44
True or False: Cryotomy is primarily used for long-term tissue preservation.
False ## Footnote Cryotomy is used for rapid diagnosis and preservation of sensitive molecules, not long-term preservation.