多囊卵巢综合征

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

病史：女，31岁，受孕期不规律。

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.

扫描体现：腹膜医学影像和MRI T2WI显示腹腔加大，远处苞泡小于12亚厘米。远处腹腔游离在医学影像上强Echo，MRI上低接收器。已非优势肝细胞。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

确诊：多苞腹腔综合征

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.

提问：多苞腹腔综合征也叫S-L综合征。是男士病病患者的最常见原因。主要是由于新陈代谢失调导致一直无受孕和雌激素分泌过昌。PCOS典型新添征：肥胖、闭经和平卧病患者。但仅有半数病人体现为此新添病患者。

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，须要采用扫描安全检查实质性获取更多信息。典型的医学影像/MRI前兆以外：腹腔加大、变圆，外周多发索科利夫卡泡，腹腔游离US上强Echo，T2WI低接收器。PCOS病人建议一直随访，因一直雌激素高度过高，可能会继发乳腺癌和子宫癌。

（以上主题节选自头部扫描病例汇）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多苞腹腔综合征

2. menses ['mensi:z] n. 受孕期

3. peripheral [pəˈrɪfərəl] adj. 外周的

4. follicles n. 索科利夫卡

5. hyperechoic [haɪpɪre'kɔɪk] 强Echo的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 不育

7. endocrinologic 新陈代谢的

8. anovulation [ænɒvjʊ'leɪʃn] n. 暂停受孕

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 雌激素过多病患者

10. amenorrhea [eɪˌmenə'ri:ə] n. 增重

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 平卧病患者

12. ovary [ˈoʊvəri] n. 腹腔

13. stroma ['stroʊmə] n. 游离

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

15. estrogen [ˈɛstrədʒən] n. 雌激素

原结尾：165.Polycystic ovary syndrome (PCOS)多苞腹腔综合征