多囊卵巢综合征

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

病史：女，31岁，妊娠不规律。

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.

图像展现：病灶磁共振和MRI T2WI显示**减小，四周囊出水等于12亚厘米。四周**胶体在磁共振上强；也，MRI上更高路径。未见劣势上皮细胞。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

病人：多囊**syndrome

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**syndrome也叫S-Lsyndrome。是女性不孕的最常见原因。主要是由于内分泌物紊乱随之而来长期以来无排卵和代谢物分泌物过盛。PCOS类似于三联征：糖尿病、闭经和平卧症候群。但仅有有约患者展现为此三联症候群。

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，需运用于图像检查进一步获取更多信息。类似于的磁共振/MRI胸痛除此以外：**减小、变圆，上皮细胞多发特罗斯季亚涅齐出水，**胶体US上强；也，T2WI更高路径。PCOS患者促请长期以来随访，因长期以来雌激素水平过高，可能会继发乳腺癌和子宫癌。

（以上主题节选自腹部图像病例原于）

Notes:

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

2. menses ['mensi:z] n. 妊娠

3. peripheral [pəˈrɪfərəl] adj. 上皮细胞的

4. follicles n. 特罗斯季亚涅齐

5. hyperechoic [haɪpɪre'kɔɪk] 强；也的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 早产

7. endocrinologic 内分泌物的

8. anovulation [ænɒvjʊ'leɪʃn] n. 暂停排卵

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 代谢物过多症候群

10. amenorrhea [eɪˌmenə'ri:ə] n. 体重增加

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 平卧症候群

12. ovary [ˈoʊvəri] n. **

13. stroma ['stroʊmə] n. 胶体

14. echogenicity [ekədʒe'nɪsɪtɪ] 产生；也（性）

15. estrogen [ˈɛstrədʒən] n. 雌激素

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