PMID- 23276569 OWN - NLM STAT- MEDLINE DCOM- 20130624 LR - 20130101 IS - 1875-6263 (Electronic) IS - 1028-4559 (Linking) VI - 51 IP - 4 DP - 2012 Dec TI - Prenatal diagnosis of mosaic tetrasomy 18p. PG - 625-9 LID - S1028-4559(12)00196-9 [pii] LID - 10.1016/j.tjog.2012.09.020 [doi] AB - OBJECTIVE: To present prenatal diagnosis and molecular cytogenetic characterization of a small supernumerary marker chromosome derived from isochromosome 18p, by interphase fluorescence in situ hybridization (FISH) on uncultured amniocytes. CASE REPORT: A 41-year-old woman underwent amniocentesis at 18 weeks of gestation, because of advanced maternal age. Amniocentesis revealed a de novo supernumerary isochromosome 18p in two of 14 colonies of cultured amniocytes. Repeated amniocentesis was performed at 22 weeks of gestation. Interphase FISH analysis on uncultured amniocytes showed four 18p11.32-specific probe (RP11-324G2) signals in 5.7% (3/53 cells) of uncultured amniocytes. A multiplex ligation-dependent probe amplification P095 test kit and array comparative genomic hybridization analysis did not detect genomic imbalance in chromosome 18. Cytogenetic analysis of cultured amniocytes at repeated amniocentesis revealed a karyotype of 47,XY,+i(18)(p10)[3]/46,XY[23]. The pregnancy was carried to 38 weeks of gestation, and a healthy 3120 g male baby was delivered. When examined at 2 months of age, the infant was normal in growth and development, without phenotypic abnormalities. The cord blood had a karyotype of 46,XY. Polymorphic DNA marker analysis excluded uniparental disomy 18. Interphase FISH analysis on uncultured urinary cells showed 9.4% (3/32 cells) mosaicism for tetrasomy 18p. CONCLUSION: There is cytogenetic discrepancy between amniocytes and cord blood lymphocytes in prenatally detected mosaic tetrasomy 18p. Interphase FISH on uncultured amniocytes has the advantage of rapid confirmation of low-level mosaicism for tetrasomy 18p at amniocentesis. CI - Copyright (c) 2012. Published by Elsevier B.V. FAU - Chen, Chih-Ping AU - Chen CP AD - Department of Medicine, Mackay Medical College, New Taipei City, Taiwan. cpc_mmh@yahoo.com FAU - Ko, Tsang-Ming AU - Ko TM FAU - Su, Yi-Ning AU - Su YN FAU - Chern, Schu-Rern AU - Chern SR FAU - Su, Jun-Wei AU - Su JW FAU - Chen, Yu-Ting AU - Chen YT FAU - Town, Dai-Dyi AU - Town DD FAU - Wang, Wayseen AU - Wang W LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China (Republic : 1949- ) TA - Taiwan J Obstet Gynecol JT - Taiwanese journal of obstetrics & gynecology JID - 101213819 RN - Chromosome 18, trisomy 18p SB - IM MH - Adult MH - Amniocentesis MH - Chromosomes, Human, Pair 18/genetics MH - Female MH - Fetal Blood MH - Humans MH - Infant, Newborn MH - Karyotyping MH - Live Birth/genetics MH - Male MH - *Mosaicism MH - Phenotype MH - Pregnancy MH - *Prenatal Diagnosis MH - Trisomy/*diagnosis/genetics EDAT- 2013/01/02 06:00 MHDA- 2013/06/26 06:00 CRDT- 2013/01/02 06:00 PHST- 2012/07/02 00:00 [accepted] PHST- 2013/01/02 06:00 [entrez] PHST- 2013/01/02 06:00 [pubmed] PHST- 2013/06/26 06:00 [medline] AID - S1028-4559(12)00196-9 [pii] AID - 10.1016/j.tjog.2012.09.020 [doi] PST - ppublish SO - Taiwan J Obstet Gynecol. 2012 Dec;51(4):625-9. doi: 10.1016/j.tjog.2012.09.020.