Figure 4. Macroscopic images of the resected specimen. (A) Unfixed specimen, directly after excision. The anus is closed by suture. The rectum is placed in a vertical orientation, corresponding to its actual position in the body. The location of the tumor is denoted by the white arrow. (B) Formalin-fixed specimen. Section through the sagittal plane with the posterior vaginal wall (black star) on the left and the rectum and anal canal on the right side of the image. The adenoid cystic carcinoma is located in the posterior vaginal wall on the left and appears relatively homogenous, with a beige-white cutting surface (black arrow). Infiltration of the muscularis propria of the anterior rectal wall can be seen macroscopically (yellow arrow).