Microtomy of Paraffin-Embedded Tissue (Online CE Course)

(based on 241 customer ratings)

Author: Diana Harrington, BS, HT(ASCP)
Reviewer: Laurie Bjerklie, MA, MLS(ASCP)CM

This course will identify the tools, processes, techniques, and problems associated with producing quality tissue slides. Essential microtomy skills are reviewed, with a focus on improving the quality and integrity of the tissue slide. Troubleshooting skills for commonly encountered microtomy problems and artifacts are also discussed.

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Continuing Education Credits

P.A.C.E.® Contact Hours (acceptable for AMT, ASCP, and state recertification): 1 hour(s)
Approved through 9/30/2026
Approved through 9/30/2026

Objectives

  • Identify instruments and tools essential for successful paraffin sectioning.
  • State the most common factors that directly affect the quality of microtomy.
  • Summarize an organized approach to the process of sectioning tissue blocks that focuses on improving the quality and integrity of the tissue slide.
  • Compare various cutting protocols for different tissue types and sizes.
  • Discuss proper slide drying and preparation for deparaffinization.
  • List the various hazards associated with microtomy.
  • Identify and troubleshoot problems and artifacts associated with the flotation bath, paraffin block, or microtome.

Customer Ratings

(based on 241 customer ratings)

Course Outline

Click on the links below to preview selected pages from this course.
  • Introduction to Microtomy
      • Introduction to Microtomy
      • Introduction to Microtomy, continued
      • True or False: Successful microtomy depends on tissue fixation, processing, and embedding.
      • Although a tissue section may be flawless, which of the following factors may render it undiagnosable?
      • Instrumentation for Microtomy: Rotary Microtome Parts
      • True or False: The safety lock, most often located on or near the advancement wheel, should be used whenever the microtomist is not actively sectionin...
      • Instrumentation for Microtomy: Knife/Blade
      • True or False: Low-profile blades require more frequent sharpening, unlike high-profile blades.
      • Instrumentation for Microtomy: Knife Angles
      • True or False: The bevel angle can be adjusted on a microtome by moving the knife tilt/knife holder to an angle between 3–8°.
      • Instrumentation for Microtomy: Flotation Bath
      • Instrumentation for Microtomy: Flotation Bath Artifacts and Adhesives
      • A laboratory uses paraffin with a melting point of 56°C. What is the optimal temperature rangefor the water bath when floating these paraffin sec...
      • Instrumentation for Microtomy: Precision Tools
      • True or False: If not cleaned between blocks, all tools used to transfer ribbons or pick up paraffin sections have the potential to introduce artifact...
      • Instrumentation for Microtomy: Glass Slides
  • The Process of Sectioning Paraffin-Embedded Tissue
      • Common Factors Affecting Sectioning Quality
      • True or False: Washboarding (undulations) introduced into tissue sections is often caused by an unstable work surface or microtome parts not correctly...
      • Process of Sectioning Paraffin Tissue
      • A histotechnology student attempts to coarse face a bone sample embedded in a paraffin block. The bone is very difficult to face and is beginning to c...
      • Special Sectioning Protocols for Various Tissue Types and Sizes
      • A pathologist orders a Congo red (amyloid) stain on a skin sample. At which thickness should the tissue block be cut for optimal stain results?
      • Proper Slide Drying for Paraffin-Sectioned Slides
      • A histotechnology student manually deparaffinizes and performs hematoxylin and eosin (H&E) stains on a dozen tissue slides, only to discover that ...
  • Hazards Associated with Microtomy
  • Troubleshooting Microtomy Problems
      • Troubleshooting Common Microtomy Problems
      • True or False: Many microtomy problems have several sources that require consideration to resolve the issue.
  • Artifact Characteristics, Causes, and Corrections
  • References
      • References

Additional Information

Level of Instruction: Basic
Intended Audience: Clinical laboratory histotechnologists, histotechnicians, and other medical laboratory personnel who have an interest in this subject matter. This course is also appropriate for histology and medical laboratory science students, pathology residents, and practicing pathologists.
Author Information: Diana Harrington, BS, HT(ASCP) is a histotechnologist at The Dermatology Center of Indiana. Since graduating from Indiana University, she has worked in various hospital laboratories as a medical technologist and histotechnologist. Her experience led her to teach IU students as a Clinical Education Supervisor and create the Histotechnology Program as Program Director for Keiser University in Florida.
Reviewer Information: Laurie Bjerklie, MA, MLS(ASCP)CM, is currently an Education Developer for MediaLab and LabCE. She earned a B.S. in Medical Laboratory Science from the University of North Dakota and an M.A. in Curriculum and Instruction from Saint Xavier University. She has over 15 years of experience in higher education and has held program director and faculty positions in both MLT and MLS programs.
Course Description:  The microtomy of paraffin-embedded tissue has been an essential component of microscopy for over a century. This course will identify and discuss the tools, processes, techniques, and problems associated with producing quality tissue slides, including necessary troubleshooting skills. 

Automated Rotary Microtome


Block edges are not in line with the blade.


Knife lines in tissue from a damaged knife.


Modern Rotary Microtome edit advancement handwheel 400


Venetian blind effect


Undulations seen in a tissue section.