Rapid preparation of high-quality frozen sections using a membrane and vacuum system embedding machine

C William Hanke1, Aimee L Leonard, Amy J Reed

  • 1Laser and Skin Surgery Center of Indiana, Carmel, Indiana 46032, USA. cwmhanke@sbcglobal.net

Abstract

Insights

The CryoHist machine offers superior frozen section slide quality for Mohs surgery compared to Cryocup and Miami Special. This automated embedding technique processes tissues faster, even for large specimens.

Area of Science:

  • Dermatology
  • Surgical Pathology
  • Histotechnology

Background:

  • Various embedding techniques are used for Mohs micrographic surgery frozen sections.
  • Limited prospective data exists comparing these methods.

Purpose of the Study:

  • To compare tissue processing times and slide quality of three embedding techniques.
  • Evaluate the efficiency and efficacy of CryoHist, Cryocup, and Miami Special.

Main Methods:

  • Prospective randomization of 75 Mohs surgery specimens (1 cm) to CryoHist, Cryocup, or Miami Special.
  • Standardized tissue preparation without relaxing incisions.
  • Evaluation of tissue preparation times and slide quality (epidermal edge).
  • Retrospective evaluation of slide quality for 50 large (>2.5 cm) CryoHist specimens.

Main Results:

  • Mean processing times: CryoHist (11.4 min), Cryocup (12.9 min), Miami Special (12.6 min).
  • CryoHist demonstrated superior slide quality, particularly for the epidermal edge.
  • Excellent slide quality (92.3% epidermal edge) achieved with CryoHist for large specimens.

Conclusions:

  • The automated CryoHist embedding machine provides high-quality frozen sections faster than Cryocup or Miami Special.
  • CryoHist ensures excellent slide quality, suitable even for large Mohs specimens.