J Gynecol Oncol.  2015 Apr;26(2):168-169. 10.3802/jgo.2015.26.2.168.

The utility of the 3D imaging software in the macroscopic rendering of complex gynecologic specimens

• Roncati L
• Palmieri B
• Pusiol T
• Piscioli F
• Scialpi M
• Barbolini
• Maiorana A

• KMID: 2160801
• DOI: http://doi.org/10.3802/jgo.2015.26.2.168

Abstract

No abstract available.

MeSH Terms

Abdomen/pathology/surgery
Adult
Endometrial Neoplasms/complications/*pathology/radiography/surgery
Endometriosis/complications/*pathology/radiography/surgery
Female
Humans
Image Enhancement/*methods
Imaging, Three-Dimensional/*methods
Pelvis/pathology/radiography/surgery
Radiography, Abdominal
Sarcoma, Endometrial Stromal/complications/*pathology/radiography/surgery
*Software
Specimen Handling

Figure

• 

  Fig. 1 (A) A longitudinal digitalized image of the abdomen, centered on the umbilicus, is seen without application of subtraction filters. (B) The dermal subtraction filter allows to remove the skin surface, which does not show pathological alterations. (C) The superficial muscle subtraction filter is able to subtract the superficial muscle layer and the sarcoma appears as a right-sided abdominal bulky mass (asterisk). The neoplasia shows a pseudo-capsule (yellow arrows), an area of colliquation (white arrow) and take its origin from the right inguinal ligament (white circle). The green pointer of spatial orientation is also reported. (D) The deep muscle subtraction filter points out the infiltration of the surrounding deep tissues, which appears as a color distortion (asterisk). (E) On a transversal section, the visceral subtraction filter displays the presence of a massive front of neoplastic infiltration towards the intestine (asterisk). (F) The gross appearance confirms what has been previously observed by the digitalized images.

Reference

1. Zeller JL. New 3D imaging software opens new vistas. JAMA. 2006; 296:2908–2913.

2. Bergamini A, Almirante G, Taccagni G, Mangili G, Vigano P, Candiani M. Endometriosis-associated tumor at the inguinal site: report of a case diagnosed during pregnancy and literature review. J Obstet Gynaecol Res. 2014; 40:1132–1136.

3. Kim JY, Hong SY, Sung HJ, Oh HK, Koh SB. A case of multiple metastatic low-grade endometrial stromal sarcoma arising from an ovarian endometriotic lesion. J Gynecol Oncol. 2009; 20:122–125.

4. Alcazar JL, Guerriero S, Ajossa S, Parodo G, Piras B, Peiretti M, et al. Extragenital endometrial stromal sarcoma arising in endometriosis. Gynecol Obstet Invest. 2012; 73:265–271.

5. Sato K, Ueda Y, Sugaya J, Ozaki M, Hisaoka M, Katsuda S. Extrauterine endometrial stromal sarcoma with JAZF1/JJAZ1 fusion confirmed by RT-PCR and interphase FISH presenting as an inguinal tumor. Virchows Arch. 2007; 450:349–353.

6. Sinha R, Sundaram M. Endometrial stromal sarcoma from endometriosis. J Minim Invasive Gynecol. 2010; 17:541–542.

7. Usta TA, Sonmez SE, Oztarhan A, Karacan T. Endometrial stromal sarcoma in the abdominal wall arising from scar endometriosis. J Obstet Gynaecol. 2014; 34:541–542.