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，更年期不规律。

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.

图片乏善可陈：盆腔医学影像和MRI T2WI显示生殖细胞缩小，周遭中空馒头大于12亚厘米。周遭生殖细胞游离在医学影像上强Echo，MRI上较高信号。未见竞争者卵馒头。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

病因：多中空生殖细胞综合从征

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：多中空生殖细胞综合从征也叫S-L综合从征。是异性恋不孕的最常见理由。主要是由于甲状腺紊乱导致依然无排卵和特异性分泌过盛。PCOS类似于原于从征：老年人、闭经和蚯蚓病高血压。但仅有总数高血压乏善可陈为此原于病高血压。

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，需要采用图片检查有利于提供更多信息。类似于的医学影像/MRI从胸痛包括：生殖细胞缩小、变圆，上皮细胞多发梨形馒头，生殖细胞游离US上强Echo，T2WI较高信号。PCOS高血压建议依然随访，因依然雌激素水平过高，会继发胰腺癌和子宫癌。

（以上基调节选自颈部图片病例即日）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多中空生殖细胞综合从征

2. menses ['mensi:z] n. 更年期

3. peripheral [pəˈrɪfərəl] adj. 上皮细胞的

4. follicles n. 梨形

5. hyperechoic [haɪpɪre'kɔɪk] 强Echo的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 不育

7. endocrinologic 甲状腺的

8. anovulation [ænɒvjʊ'leɪʃn] n. 暂停排卵

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 特异性过多病高血压

10. amenorrhea [eɪˌmenə'ri:ə] n. 停经

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 蚯蚓病高血压

12. ovary [ˈoʊvəri] n. 生殖细胞

13. stroma ['stroʊmə] n. 游离

14. echogenicity [ekədʒe'nɪsɪtɪ] 转化成Echo（性）

15. estrogen [ˈɛstrədʒən] n. 雌激素

原标题：165.Polycystic ovary syndrome (PCOS)多中空生殖细胞综合从征