多囊卵巢病症

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

高血压：女，31岁，元月不法则。

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.

影像显出：盆腔激光和MRI T2WI推断睾丸缩小，周遭囊泡大于12亚厘米。周遭睾丸内皮在激光上过关斩将Echo，MRI上极低信号。确有占有优势卵泡。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

病症候群：多囊睾丸开放性疾病

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.

研讨：多囊睾丸开放性疾病也叫S-L开放性疾病。是女开放性不孕的最常见原因。主要是由于内排泄紊乱导致仍然无妊娠和皮质醇排泄过盛。PCOS的现代亦同征：肥胖、闭经和多毛症候群。但均分之一病患者显出为此亦同症候群。

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，须要采用影像健康检查促使给与更是多信息。的现代的激光/MRI征象以外：睾丸缩小、变圆，上皮细胞多发小囊泡，睾丸内皮US上过关斩将Echo，T2WI极低信号。PCOS病患者敦促仍然随访，因仍然孕酮总体过高，可能会继发白血病和子宫癌。

（以上主题节选自腹部影像确诊即日）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多囊睾丸开放性疾病

2. menses ['mensi:z] n. 元月

3. peripheral [pəˈrɪfərəl] adj. 上皮细胞的

4. follicles n. 小囊

5. hyperechoic [haɪpɪre'kɔɪk] 过关斩将Echo的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 不育

7. endocrinologic 内排泄的

8. anovulation [ænɒvjʊ'leɪʃn] n. 停止妊娠

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 皮质醇过多症候群

10. amenorrhea [eɪˌmenə'ri:ə] n. 体重增加

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 多毛症候群

12. ovary [ˈoʊvəri] n. 睾丸

13. stroma ['stroʊmə] n. 内皮

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

15. estrogen [ˈɛstrədʒən] n. 孕酮

原结尾：165.Polycystic ovary syndrome (PCOS)多囊睾丸开放性疾病