多囊卵巢综合征

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

高血压：女，31岁，排卵期不自然现象。

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.

底片发挥：盆腔MRI和MRI T2WI推测输卵管升高，周边囊葫芦大于12亚厘米。周边输卵管内皮在MRI上强于回音，MRI上极低信号。未见劣势卵葫芦。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

诊疗：多囊输卵管综合从征

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：多囊输卵管综合从征也叫S-L综合从征。是男同普遍性恋不孕的最罕见原因。主要是由于内排泄紊乱随之而来一直无排卵期和睾酮排泄过寿。PCOS典型内中从征：老年人、闭经和疣普遍性疾病。但全部都是至少患儿发挥为此内中普遍性疾病。

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，需运用于底片检验有利于获取更多电子邮件。典型的MRI/MRI从征象除此以外：输卵管升高、变圆，外周多发网纹葫芦，输卵管内皮US上强于回音，T2WI极低信号。PCOS患儿建言一直随访，因一直孕酮水平过高，可能会继发乳腺癌和子宫癌。

（以上主题节选自腹部底片病例汇）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多囊输卵管综合从征

2. menses ['mensi:z] n. 排卵期

3. peripheral [pəˈrɪfərəl] adj. 外周的

4. follicles n. 网纹

5. hyperechoic [haɪpɪre'kɔɪk] 强于回音的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 不孕

7. endocrinologic 内排泄的

8. anovulation [ænɒvjʊ'leɪʃn] n. 停止排卵期

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 睾酮过多普遍性疾病

10. amenorrhea [eɪˌmenə'ri:ə] n. 增重

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 疣普遍性疾病

12. ovary [ˈoʊvəri] n. 输卵管

13. stroma ['stroʊmə] n. 内皮

14. echogenicity [ekədʒe'nɪsɪtɪ] 产生回音（普遍性）

15. estrogen [ˈɛstrədʒən] n. 孕酮

原标题：165.Polycystic ovary syndrome (PCOS)多囊输卵管综合从征