You are asking for very different things. You have one request for a Perl (you don't need TK) application that can open MS Word, extract an image, and then make that image available in an editable application.

For the image extraction, you might take this example: http://www.adp-gmbh.ch/perl/word.html. I found that by doing a Google search for win32 ole MS-Word Perl (recreated here).

You also haven't specified why you would want to develop an image editor through Perl/TK. It is certainly possible. For good lessons, please consult THE book on Perl/TK: Mastering Perl/TK.

Note that the Monastery is not the place to ask generic "please send me the code" questions and get very helpful responses