多囊卵巢症候群

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

病史：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.

图片展现出：龟头激光和MRI T2WI揭示**增大，外面苞泡小于12亚厘米。外面**上皮细胞在激光上过关斩将回波，MRI上很低信号。未见优势卵巢。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

确诊：多苞**综合症候群

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：多苞**综合症候群也叫S-L综合症候群。是女性不孕的最常见主因。主要是由于肾脏不可逆转导致仍然无卵子和荷尔蒙分泌过盛。PCOS类似于亦同征：肥胖、闭经和蚯蚓症候群。但仅有有约病变展现出为此亦同症候群。

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，需使用图片检测大幅度获取更多电子邮件。类似于的激光/MRI前兆包括：**增大、变圆，外周多发胸膜泡，**上皮细胞US上过关斩将回波，T2WI很低信号。PCOS病变决定仍然随访，因仍然皮质醇水平过高，可能会诱发乳腺癌和子宫癌。

（以上趣味节选自腹部图片病例节录）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多苞**综合症候群

2. menses ['mensi:z] n. 排卵

3. peripheral [pəˈrɪfərəl] adj. 外周的

4. follicles n. 胸膜

5. hyperechoic [haɪpɪre'kɔɪk] 过关斩将回波的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 子代

7. endocrinologic 肾脏的

8. anovulation [ænɒvjʊ'leɪʃn] n. 停止卵子

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 荷尔蒙过多症候群

10. amenorrhea [eɪˌmenə'ri:ə] n. 增重

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 蚯蚓症候群

12. ovary [ˈoʊvəri] n. **

13. stroma ['stroʊmə] n. 上皮细胞

14. echogenicity [ekədʒe'nɪsɪtɪ] 导致回波（性）

15. estrogen [ˈɛstrədʒən] n. 皮质醇

原篇名：165.Polycystic ovary syndrome (PCOS)多苞**综合症候群