多囊卵巢综合征

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

病因：女，31岁，子宫不自然。

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.

影象发挥：盆腔核磁共振和MRI T2WI推测上皮细胞增大，四周粘液荷叶相等12亚厘米。四周上皮细胞颗粒在核磁共振上强Echo，MRI上低频率。未见绝对优势粘液。

DIAGNOSIS:

Polycystic ovary syndrome (PCOS)

诊断：多粘液上皮细胞综合平

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：多粘液上皮细胞综合平也叫S-L综合平。是女普遍性不孕的最常见原因。主要是由于功能障碍紊乱致使长时间无普遍性腺和激素分泌过衡。PCOS的现代非典型平：肥胖、闭经和小头病患者。但仅有将近病患者发挥为此非典型病患者。

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，需要选用影象核对进一步获取更多信息。的现代的核磁共振/MRI平象包括：上皮细胞增大、变圆，外周多发小粘液荷叶，上皮细胞颗粒US上强Echo，T2WI低频率。PCOS病患者建议长时间随访，因长时间雌激素水平过高，可能会普遍性疾病白血病和子宫癌。

（以上主旨节选自喉部影象病例汇）

Notes:

1. Polycystic ovary syndrome [ˌpɑliˈsɪstɪk ˈovəri ˈsɪnˌdrom] 多粘液上皮细胞综合平

2. menses ['mensi:z] n. 子宫

3. peripheral [pəˈrɪfərəl] adj. 外周的

4. follicles n. 小粘液

5. hyperechoic [haɪpɪre'kɔɪk] 强Echo的

6. infertility [ˌɪnfɚˈtɪlɪti] n. 不孕

7. endocrinologic 功能障碍的

8. anovulation [ænɒvjʊ'leɪʃn] n. 停止普遍性腺

9. hyperandrogenism [haɪpə'rændrɒdʒɪnɪzəm] 激素过多病患者

10. amenorrhea [eɪˌmenə'ri:ə] n. 停经

11. hirsutism ['hɜ:su:ˌtɪzəm] n. 小头病患者

12. ovary [ˈoʊvəri] n. 上皮细胞

13. stroma ['stroʊmə] n. 颗粒

14. echogenicity [ekədʒe'nɪsɪtɪ] 消除Echo（普遍性）

15. estrogen [ˈɛstrədʒən] n. 雌激素

原歌名：165.Polycystic ovary syndrome (PCOS)多粘液上皮细胞综合平