Figure 4

Formalin-fixed specimens obtained at the time of the secondary debulking surgery. (A) Intense uptake areas (1 to 3) in the ¹⁸F-fluorodeoxyglucose positron emission tomography (¹⁸F-FDG PET) maximum intensity projection image. (B) Specimen from the low anterior en bloc resection of the rectum; the triangles show the level of peritoneal reflex. (C) Sections 1 and 2 include mesorectal lymph nodes; section V (vagina) includes the posterior vaginal wall and a paravaginal lymph node; section 3 includes a pararectal lymph node; the arrows indicate loupe views of the swollen lymph nodes. (D) Microscopic view of section 3 (hematoxylin and eosin stain, bar 100 μm).