多囊卵巢综合征

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

躁郁症：女，31岁，更年期不规律。

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.

视觉发挥：眼部成像和MRI T2WI显示腹腔减小，周边囊葫芦大于12亚厘米。周边腹腔组分在成像上强Echo，MRI上较差接收机。未见优势卵葫芦。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

诊断：多囊腹腔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：多囊腹腔syndrome也叫S-Lsyndrome。是女性不育的最常见原因。主要是由于内肠道不良导致仍然无更年期周期和雄激素肠道过丰。PCOS迥然不同三联征：厌食症、闭经和多毛关节炎。但极少半数以上病征发挥为此三联关节炎。

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，只需采用视觉检查更进一步给与更多信息。迥然不同的成像/MRI征象包括：腹腔减小、变圆，外周多发小囊葫芦，腹腔组分US上强Echo，T2WI较差接收机。PCOS病征劝告仍然随访，因仍然皮质醇技术水平过高，可能会继发乳腺癌和子宫癌。

（以上基调节选自腹部视觉病例汇）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多囊腹腔syndrome

2. menses ['mensi:z] n. 更年期

3. peripheral [pəˈrɪfərəl] adj. 外周的

4. follicles n. 小囊

5. hyperechoic [haɪpɪre'kɔɪk] 强Echo的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 不育

7. endocrinologic 内肠道的

8. anovulation [ænɒvjʊ'leɪʃn] n. 停止更年期周期

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 雄激素过多关节炎

10. amenorrhea [eɪˌmenə'ri:ə] n. 魏茨县

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 多毛关节炎

12. ovary [ˈoʊvəri] n. 腹腔

13. stroma ['stroʊmə] n. 组分

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

15. estrogen [ˈɛstrədʒən] n. 皮质醇

原结尾：165.Polycystic ovary syndrome (PCOS)多囊腹腔syndrome