多囊卵巢综合征

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

哮喘：女，31岁，子宫不规律。

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.

视觉展现出：眼部超声和MRI T2WI显示腹腔减少，周围囊鳖大于12亚厘米。周围腹腔基质在超声上超强Echo，MRI上低频率。未见压倒特质卵鳖。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

诊断：多囊腹腔综合病征

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.

辩论：多囊腹腔综合病征也叫S-L综合病征。是成年人不孕的最常见可能。主要是由于肾脏紊乱所致依然无卵巢和皮质醇分泌过盛。PCOS典型新添平：肥胖、闭经和多毛病征。但有数有约患者展现出为此新添病征。

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，需改用视觉检查进一步借助格外多信息。典型的超声/MRI平象包括：腹腔减少、变圆，泌尿系统多发小囊鳖，腹腔基质US上超强Echo，T2WI低频率。PCOS患者提议依然随访，因依然雌激素水平过高，可能会继发丙型肝炎和子宫癌。

（以上主题节选自头部视觉发病资）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多囊腹腔综合病征

2. menses ['mensi:z] n. 子宫

3. peripheral [pəˈrɪfərəl] adj. 泌尿系统的

4. follicles n. 小囊

5. hyperechoic [haɪpɪre'kɔɪk] 超强Echo的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 娶妻

7. endocrinologic 肾脏的

8. anovulation [ænɒvjʊ'leɪʃn] n. 暂停卵巢

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 皮质醇过多病征

10. amenorrhea [eɪˌmenə'ri:ə] n. 魏茨县

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 多毛病征

12. ovary [ˈoʊvəri] n. 腹腔

13. stroma ['stroʊmə] n. 基质

14. echogenicity [ekədʒe'nɪsɪtɪ] 转化成Echo（特质）

15. estrogen [ˈɛstrədʒən] n. 雌激素

原标题：165.Polycystic ovary syndrome (PCOS)多囊腹腔综合病征