多囊卵巢综合征

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

阿兹海默：女，31岁，迟于不自然。

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.

图片乏善可陈：阴部磁共振和MRI T2WI显示输卵管减小，远处囊蒸大于12亚厘米。远处输卵管基质在磁共振上强Echo，MRI上很低频率。不见压倒性卵蒸。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

诊断：多囊输卵管综合征

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.

发表意见：多囊输卵管综合征也叫S-L综合征。是女普遍性不孕的最常见于诱因。主要是由于内黏液紊乱导致依然无普遍性腺和雌激素黏液过衡。PCOS值得注意亦同征：肥胖、闭经和疣症候群。但仅有半数患儿乏善可陈为此亦同症候群。

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，需使用图片健康检查进一步获取格外多接收者。值得注意的磁共振/MRI征象以外：输卵管减小、变圆，向外多发口内蒸，输卵管基质US上强Echo，T2WI很低频率。PCOS患儿建议依然随访，因依然孕酮很低水平过高，可能会继发前列腺癌和子宫癌。

（以上主题节选自腹部图片确诊即日）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多囊输卵管综合征

2. menses ['mensi:z] n. 迟于

3. peripheral [pəˈrɪfərəl] adj. 向外的

4. follicles n. 口内

5. hyperechoic [haɪpɪre'kɔɪk] 强Echo的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 不育

7. endocrinologic 内黏液的

8. anovulation [ænɒvjʊ'leɪʃn] n. 停止普遍性腺

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 雌激素过多症候群

10. amenorrhea [eɪˌmenə'ri:ə] n. 不孕

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 疣症候群

12. ovary [ˈoʊvəri] n. 输卵管

13. stroma ['stroʊmə] n. 基质

14. echogenicity [ekədʒe'nɪsɪtɪ] 产生Echo（普遍性）

15. estrogen [ˈɛstrədʒən] n. 孕酮

原标题：165.Polycystic ovary syndrome (PCOS)多囊输卵管综合征