多囊卵巢综合征

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

帕金森氏症：女，31岁，受孕不法则。

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.

摄影机乏善可陈：盆腔超音波和MRI T2WI显示子宫增加，四周苞冷水大于12亚厘米。四周子宫基质在超音波上强；也，MRI上偏高路径。未见优势卵冷水。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

诊疗：多苞子宫综合征

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.

争辩：多苞子宫综合征也叫S-L综合征。是女病态不育的最常见原因。主要是由于功能障碍紊乱致使长期无卵子和代谢物腺体过盛。PCOS相比较非典型征：肥胖、闭经和多毛病征。但仅剩总数病病征乏善可陈为此非典型病征。

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，无需换用摄影机健康检查全面获取更多信息。相比较的超音波/MRI征象包括：子宫增加、变圆，肺脏多发小苞冷水，子宫基质US上强；也，T2WI偏高路径。PCOS病病征提议长期随访，因长期甲状腺素水准过高，可能会诱发乳腺癌和子宫癌。

（以上主题节选自躯干摄影机病例汇）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多苞子宫综合征

2. menses ['mensi:z] n. 受孕

3. peripheral [pəˈrɪfərəl] adj. 肺脏的

4. follicles n. 小苞

5. hyperechoic [haɪpɪre'kɔɪk] 强；也的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 不育

7. endocrinologic 功能障碍的

8. anovulation [ænɒvjʊ'leɪʃn] n. 停止卵子

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 代谢物过多病征

10. amenorrhea [eɪˌmenə'ri:ə] n. 停经

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 多毛病征

12. ovary [ˈoʊvəri] n. 子宫

13. stroma ['stroʊmə] n. 基质

14. echogenicity [ekədʒe'nɪsɪtɪ] 产生；也（病态）

15. estrogen [ˈɛstrədʒən] n. 甲状腺素

原结尾：165.Polycystic ovary syndrome (PCOS)多苞子宫综合征