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Related Experiment Videos

False negative findings at third trimester chorionic villus sampling (C.V.S.).

N J Leschot1, H Wolf, G H Weenink

  • 1Department of Human Genetics, University of Amsterdam, The Netherlands.

Clinical Genetics
|September 1, 1988
PubMed
Summary
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A prenatal diagnosis revealed a discrepancy in fetal chromosome analysis. Postnatal testing confirmed mosaic trisomy 18 in the stillborn infant, impacting both lymphocytes and placental tissue.

Area of Science:

  • Genetics
  • Prenatal Diagnosis
  • Fetal Medicine

Background:

  • Accurate prenatal diagnosis is crucial for managing genetic disorders.
  • Karyotyping of fetal cells is a standard diagnostic procedure.
  • Discrepancies in karyotyping can arise from various sources, including mosaicism.

Observation:

  • A 30-week pregnancy presented with conflicting karyotype results: chorionic cells showed 46,XX, while cultured amniotic fluid cells indicated 47,XX,+18.
  • A stillborn female infant exhibited external features consistent with trisomy 18 syndrome.
  • Subsequent analysis revealed a mosaic pattern in the infant's lymphocytes and placental tissue.

Findings:

  • The observed karyotypic discrepancy was attributed to mosaic trisomy 18.
  • Mosaicism in trisomy 18 involves the presence of both normal and abnormal cell lines.

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  • Confirmation of mosaicism in multiple tissues (lymphocytes, placenta) is critical for accurate diagnosis.
  • Implications:

    • This case highlights the importance of investigating discordant prenatal genetic findings.
    • Mosaic trisomy 18 can present diagnostic challenges and requires careful interpretation.
    • Understanding tissue-specific mosaicism is essential for genetic counseling and clinical management.