PMID- 15712324 OWN - NLM STAT- MEDLINE DCOM- 20050609 LR - 20161124 IS - 0197-3851 (Print) IS - 0197-3851 (Linking) VI - 25 IP - 2 DP - 2005 Feb TI - Perinatal findings and molecular cytogenetic analysis of de novo partial trisomy 16q (16q22.1-->qter) and partial monosomy 20q (20q13.3-->qter). PG - 112-8 AB - OBJECTIVES: To present the perinatal findings and molecular cytogenetic analysis of de novo partial trisomy 16q and partial monosomy 20q and a review of the literature. CASE AND METHODS: Obstetric ultrasound at 33 weeks' gestation revealed intrauterine growth restriction (IUGR) and dolichocephaly in a 27-year-old primigravid woman. Prenatal cytogenetic diagnosis was not offered because of the late stage of gestation. A 2800-g male baby was delivered at 41 weeks' gestation by cesarean section because of fetal distress. The infant postnatally presented characteristic craniofacial dysmorphism, hypotonia, cleft palate, congenital heart defects, a subependymal cyst, and hypospadia. Cytogenetic analysis revealed an additional material attached to the terminal region of chromosome 20q. The parental karyotypes were normal. Spectral karyotyping (SKY), fluorescence in situ hybridization (FISH), and polymorphic DNA markers were used to investigate the origin of the de novo aberrant chromosome. RESULTS: SKY using 24-color probes, FISH using specific 16p, 16q, 20 centromeric, and 20q telomeric probes, and polymorphic DNA marker analysis confirmed maternal origin of the duplication of distal 16q and the deletion of terminal 20q. Karyotype of the proband was designated as 46,XY.ish der(20)t(16;20)(q22.1;q13.3)(SKY+,16qTEL+,20qTEL-). CONCLUSIONS: Partial trisomy 16q (16q22.1-->qter) and partial monosomy 20q (20q13.3-->qter) may be associated with the perinatal findings of IUGR, dolichocephaly, hypotonia, cleft palate, congenital heart defects, a subependymal cyst, and hypospadia. SKY, FISH, and genetic marker studies help in delineating the parental origin and the regions of the deletion and duplication in the de novo unbalanced translocation. CI - Copyright 2005 John Wiley & Sons, Ltd. FAU - Chen, Chih-Ping AU - Chen CP AD - Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan, Republic of China. cpc_mmh@yahoo.com FAU - Lin, Shuan-Pei AU - Lin SP FAU - Lin, Chyi-Chyang AU - Lin CC FAU - Li, Yueh-Chun AU - Li YC FAU - Chern, Schu-Rern AU - Chern SR FAU - Chen, Wei-Min AU - Chen WM FAU - Lee, Chen-Chi AU - Lee CC FAU - Hsieh, Lie-Jiau AU - Hsieh LJ FAU - Wang, Wayseen AU - Wang W LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Prenat Diagn JT - Prenatal diagnosis JID - 8106540 RN - 9007-49-2 (DNA) SB - IM MH - Abnormalities, Multiple/diagnosis/diagnostic imaging MH - Adult MH - Chromosome Deletion MH - Chromosomes, Human, Pair 16 MH - Chromosomes, Human, Pair 20 MH - Cytogenetic Analysis MH - DNA/analysis MH - Diagnosis, Differential MH - Female MH - Fetal Growth Retardation/*diagnosis/diagnostic imaging MH - Humans MH - Infant, Newborn MH - Male MH - Maxillofacial Abnormalities/diagnosis/diagnostic imaging MH - Pregnancy MH - Pregnancy Trimester, Third MH - Trisomy/*diagnosis MH - Ultrasonography, Prenatal RF - 17 EDAT- 2005/02/16 09:00 MHDA- 2005/06/10 09:00 CRDT- 2005/02/16 09:00 PHST- 2005/02/16 09:00 [pubmed] PHST- 2005/06/10 09:00 [medline] PHST- 2005/02/16 09:00 [entrez] AID - 10.1002/pd.1083 [doi] PST - ppublish SO - Prenat Diagn. 2005 Feb;25(2):112-8. doi: 10.1002/pd.1083.