多囊卵巢综合征

HISTORY: A 31-year-old female with a history of irregular menses

病患：女，31岁，排卵不规律。

FINDINGS:

Pelvic ultrasound and T2-weighted MRI demonstrates an enlarged ovary with>12 subcentimeter peripheral follicles surrounding a prominent hyperechoic (US) and hypointense (MRI) ovarian stroma. No evidence of dominant follicle.

底片展示出：粘液核磁共振和MRI T2WI辨识**加大，周围囊泡等于12亚厘米。周围**基质在核磁共振上强调谐，MRI上较高信号。看不出军事优势乳腺。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

病患：多囊**性疾病

DISCUSSION:

Also known as Stein-Leventhal syndrome, PCOS is one of the most common causes of female infertility. PCOS is an endocrinologic disorder characterized by chronic anovulation and hyperandrogenism. Furthermore, PCOS has a classic triad of obesity, amenorrhea, and hirsutism; but only half of patients present with this combination.

讨论：多囊**性疾病也叫S-L性疾病。是男人不孕的最常见于或许。主要是由于肾脏麻痹导致依然无**和雄激素分泌物过盛。PCOS典型人口为120人征：肥胖、闭经和多毛综合症。但仅有半数病变展示出为此人口为120人综合症。

Therefore, imaging evaluation tends to follow to gain further information . Typical US/MRI findings include enlarged, rounded ovaries with numerous small, peripherally located follicles and stroma showing increased echogenicity (US) or decreased signal on T2-weighted imaging (MRI). Long-term follow-up should be recommended in such patients as PCOS patients he an increased risk of breast and uterine cancer secondary to unopposed high estrogen levels .

因此，均需采用底片检查进一步获取更多信息。典型的核磁共振/MRI病征除此以外：**加大、变圆，外周多发特罗斯季亚涅齐泡，**基质US上强调谐，T2WI较高信号。PCOS病变建议依然随访，因依然睾酮水平过高，可能会继发乳癌和子宫癌。

（以上主题节选自腹部底片病例汇）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多囊**性疾病

2. menses ['mensi:z] n. 排卵

3. peripheral [pəˈrɪfərəl] adj. 外周的

4. follicles n. 特罗斯季亚涅齐

5. hyperechoic [haɪpɪre'kɔɪk] 强调谐的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 不育

7. endocrinologic 肾脏的

8. anovulation [ænɒvjʊ'leɪʃn] n. 停止**

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 雄激素过多综合症

10. amenorrhea [eɪˌmenə'ri:ə] n. 停经

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 多毛综合症

12. ovary [ˈoʊvəri] n. **

13. stroma ['stroʊmə] n. 基质

14. echogenicity [ekədʒe'nɪsɪtɪ] 归因于调谐（性）

15. estrogen [ˈɛstrədʒən] n. 睾酮

原标题：165.Polycystic ovary syndrome (PCOS)多囊**性疾病