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Frozen section technique I I
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Frozen section technique | FS technique I I | FS technique III | FS technique IV
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Orienting the tissue to the knife
This is an extremely important aspect of the frozen section preparation.
Using the embedding system described in the previous articles it is quite
easy to prepare and orient tissues in the wells so that the knife meets the
tissue in a specific orientation. Based on my experience I have come up with
certain rules I try to follow:
1) Fat should be the last thing to hit the blade or should hit the blade by
itself whenever possible. Fat does not get hard enough to cut well at
temperatures that are best for cutting most other tissues. When fat hits the
blade before the more manageable tissues it may smear and ruin the rest of
the section. I find by hitting the knife last or by itself fat wont interfere with
the other tissues as much. The worst situation in my experience is to have
fat meet the blade first without a handle of embedding medium. The
handle gives the section a start. Without this handle the fat will smear and
wipe out the whole section. Sectioning fat will be discussed in greater detail
below. If I find myself having difficulty getting a good section because fat
appears in the plane I suggest rotating the chuck to avoid the fat or try The
Gouge.
2) The most critical aspect of the tissue should be perpendicular or diagonal
to the blade and not the first or last aspect of the tissue to hit the blade. Lets
Frozen section technique I I
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