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，非常年期不规律。

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.

图片展现：外阴超声波和MRI T2WI显示腹腔减小，外面绒毛鳖大于12亚厘米。外面腹腔细胞内在超声波上超强水声，MRI上高信号。已非占优势卵鳖。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

诊断：多绒毛腹腔综合逆

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.

谈论：多绒毛腹腔综合逆也叫S-L综合逆。是异开放性恋不孕的最典型原因。主要是由于内肠道功能障碍导致仍然无月经周期和雄激素肠道过盛。PCOS值得注意三联逆：肥胖、闭经和小头开放性疾病。但仅有有约患者展现为此三联开放性疾病。

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，需采用图片核查进一步得到非常多个人信息。值得注意的超声波/MRI逆象包括：腹腔减小、变圆，肺脏多发小绒毛鳖，腹腔细胞内US上超强水声，T2WI高信号。PCOS患者决定仍然随访，因仍然甲状腺激素水平过高，可能会继发乳腺癌和子宫癌。

（以上主轴节选自腹部图片病例原于）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多绒毛腹腔综合逆

2. menses ['mensi:z] n. 非常年期

3. peripheral [pəˈrɪfərəl] adj. 肺脏的

4. follicles n. 小绒毛

5. hyperechoic [haɪpɪre'kɔɪk] 超强水声的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 不育

7. endocrinologic 内肠道的

8. anovulation [ænɒvjʊ'leɪʃn] n. 停止月经周期

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 雄激素过多开放性疾病

10. amenorrhea [eɪˌmenə'ri:ə] n. 输精管

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 小头开放性疾病

12. ovary [ˈoʊvəri] n. 腹腔

13. stroma ['stroʊmə] n. 细胞内

14. echogenicity [ekədʒe'nɪsɪtɪ] 造成了水声（开放性）

15. estrogen [ˈɛstrədʒən] n. 甲状腺激素

原标题：165.Polycystic ovary syndrome (PCOS)多绒毛腹腔综合逆