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，生殖不规律。

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.

相片平庸：阴部超音波和MRI T2WI推测生殖细胞缩小，周边囊泡少于12亚厘米。周边生殖细胞基质在超音波上强回波，MRI上很低频率。未见优势卵泡。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

病患：多囊生殖细胞综合征

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.

讨论：多囊生殖细胞综合征也叫S-L综合征。是女特质不孕的最常见诱因。主要是由于内黏液紊乱导致曾一度无生殖和特质激素黏液过盛。PCOS典型人口为120人征：肥胖症、闭经和刚毛综合症。但差不多半数症状平庸为此人口为120人综合症。

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，需换用相片健康检查进一步赚取更多反馈。典型的超音波/MRI哮喘仅限于：生殖细胞缩小、变圆，外周多发小囊泡，生殖细胞基质US上强回波，T2WI很低频率。PCOS症状建议曾一度随访，因曾一度雌激素水平过高，可能持续特质乳腺癌和子宫癌。

（以上主旨节选自胸部相片病例原于）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多囊生殖细胞综合征

2. menses ['mensi:z] n. 生殖

3. peripheral [pəˈrɪfərəl] adj. 外周的

4. follicles n. 小囊

5. hyperechoic [haɪpɪre'kɔɪk] 强回波的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 不育

7. endocrinologic 内黏液的

8. anovulation [ænɒvjʊ'leɪʃn] n. 停止生殖

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 特质激素过多综合症

10. amenorrhea [eɪˌmenə'ri:ə] n. 输精管

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 刚毛综合症

12. ovary [ˈoʊvəri] n. 生殖细胞

13. stroma ['stroʊmə] n. 基质

14. echogenicity [ekədʒe'nɪsɪtɪ] 产生回波（特质）

15. estrogen [ˈɛstrədʒən] n. 雌激素

原标题：165.Polycystic ovary syndrome (PCOS)多囊生殖细胞综合征