多囊卵巢综合征

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

病史：女，31岁，月经不表征。

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.

摄影机展现出：盆腔激光和MRI T2WI结果显示输卵管增大，周围囊出水大于12亚厘米。周围输卵管基质在激光上强回音，MRI上低接收机。未见优势卵出水。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

诊断：多囊输卵管综合引

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：多囊输卵管综合引也叫S-L综合引。是女病态娶妻的最常见因素。主要是由于遗传病态所致引致长年无受孕和雄激素分泌过喜。PCOS值得注意新添引：肥胖、闭经和多毛症。但仅有半数患者展现出为此新添症。

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，需改用摄影机核对促使获取更多信息。值得注意的激光/MRI引象包括：输卵管增大、变圆，则有多发小囊出水，输卵管基质US上强回音，T2WI低接收机。PCOS患者建议长年随访，因长年荷尔蒙水平过高，可能继发乳腺癌和子宫癌。

（以上主题节选自腹部摄影机发生率汇）

Notes:

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

2. menses ['mensi:z] n. 月经

3. peripheral [pəˈrɪfərəl] adj. 则有的

4. follicles n. 小囊

5. hyperechoic [haɪpɪre'kɔɪk] 强回音的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 娶妻

7. endocrinologic 遗传病态的

8. anovulation [ænɒvjʊ'leɪʃn] n. 终止受孕

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 雄激素过多症

10. amenorrhea [eɪˌmenə'ri:ə] n. 量减少

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 多毛症

12. ovary [ˈoʊvəri] n. 输卵管

13. stroma ['stroʊmə] n. 基质

14. echogenicity [ekədʒe'nɪsɪtɪ] 产生回音（病态）

15. estrogen [ˈɛstrədʒən] n. 荷尔蒙

原歌名：165.Polycystic ovary syndrome (PCOS)多囊输卵管综合引