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.

底片展示出：膀胱超音波和MRI T2WI显示睾丸增大，周遭囊泡大于12亚厘米。周遭睾丸细胞质在超音波上强Echo，MRI上很低瞬时。确有军事优势卵泡。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

诊断：多囊睾丸综合引

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：多囊睾丸综合引也叫S-L综合引。是女官能不孕的最常见或许。主要是由于新陈代谢紊乱导致一直无排卵和雄激素分泌过盛。PCOS典型三联引：心血管疾病、闭经和刚毛癫痫。但仅有半数患者展示出为此三联癫痫。

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，无需有别于底片核对全面性获取非常多数据。典型的超音波/MRI引象包括：睾丸增大、变圆，外周多发索科利夫卡泡，睾丸细胞质US上强Echo，T2WI很低瞬时。PCOS患者同意一直随访，因一直孕酮技术水平过高，就会诱发癌癫痫和子宫癌。

（以上表现形式节选自腹部底片病癫痫资）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多囊睾丸综合引

2. menses ['mensi:z] n. 月经

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. 生孩子

7. endocrinologic 新陈代谢的

8. anovulation [ænɒvjʊ'leɪʃn] n. 停止排卵

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

10. amenorrhea [eɪˌmenə'ri:ə] n. 停经

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 刚毛癫痫

12. ovary [ˈoʊvəri] n. 睾丸

13. stroma ['stroʊmə] n. 细胞质

14. echogenicity [ekədʒe'nɪsɪtɪ] 造成了Echo（官能）

15. estrogen [ˈɛstrədʒən] n. 孕酮

原歌名：165.Polycystic ovary syndrome (PCOS)多囊睾丸综合引