PMID- 24075380 OWN - NLM STAT- MEDLINE DCOM- 20140512 LR - 20151119 IS - 1875-6263 (Electronic) IS - 1028-4559 (Linking) VI - 52 IP - 3 DP - 2013 Sep TI - Prenatal diagnosis of mosaic trisomy 2 associated with abnormal maternal serum screening, oligohydramnios, intrauterine growth restriction, ventricular septal defect, preaxial polydactyly, and facial dysmorphism. PG - 395-400 LID - S1028-4559(13)00124-1 [pii] LID - 10.1016/j.tjog.2013.06.004 [doi] AB - OBJECTIVE: To present prenatal diagnosis of mosaic trisomy 2. MATERIALS AND METHODS: A 29-year-old woman underwent amniocentesis at 17 weeks of gestation because of abnormal maternal serum screening, and the cytogenetic result was 47,XY,+2[8]/46,XY[22]. She underwent repeated amniocentesis at 19 weeks of gestation. Interphase fluorescence in situ hybridization (FISH), array comparative genomic hybridization (aCGH), and quantitative fluorescent polymerase chain reaction (QF-PCR) were performed on uncultured amniocytes. Ultrasound at 22 weeks of gestation revealed severe oligohydramnios, intrauterine growth restriction, and ventricular septal defect. The pregnancy was terminated at 22 weeks of gestation. Cytogenetic analysis was performed on parental blood, cultured amniocytes, cord blood, skin, liver, lung, umbilical cord, amnion, and placenta. aCGH analysis was performed on cord blood, skin, and liver. RESULTS: In the samples of uncultured amniocytes, interphase FISH detected 11.1% (13/117) mosaicism for trisomy 2, aCGH analysis showed the result of arr [hg19] 2p25.3q37.3 (0-242,936,883)x2.46, and QF-PCR excluded uniparental disomy 2. QF-PCR on placenta revealed trisomy 2 derived from maternal meiosis I non-disjunction. Cytogenetic analysis revealed the following results: cultured amniocytes: 46,XY[21 colonies]; cord blood: 46,XY[40 cells]; skin: 46,XY[40 cells]; lung: 46,XY[40 cells]; liver: 47,XY,+2[4 cells]/46,XY[36 cells]; umbilical cord: 47,XY,+2[4 cells]/46,XY[36 cells]; amniotic membrane: 47,XY,+2[20 cells]/46,XY[20 cells]; and placenta: 47,XY,+2[40 cells]. The fetus postnatally manifested facial dysmorphism and preaxial polydactyly of the hand. CONCLUSION: Interphase FISH and aCGH analyses on uncultured amniocytes are useful for rapid confirmation of low-level mosaic trisomy 2 at amniocentesis. CI - Copyright (c) 2013. Published by Elsevier B.V. FAU - Chen, Chih-Ping AU - Chen CP AD - Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan; Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan; Department of Biotechnology, Asia University, Taichung, Taiwan; School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; Institute of Clinical and Community Health Nursing, National Yang-Ming University, Taipei, Taiwan; Department of Obstetrics and Gynecology, School of Medicine, National Yang-Ming University, Taipei, Taiwan. Electronic address: cpc_mmh@yahoo.com. FAU - Chen, Yi-Yung AU - Chen YY FAU - Chern, Schu-Rern AU - Chern SR FAU - Wu, Peih-Shan AU - Wu PS FAU - Su, Jun-Wei AU - Su JW FAU - Chen, Yu-Ting AU - Chen YT FAU - Lee, Chen-Chi AU - Lee CC FAU - Chen, Li-Feng AU - Chen LF 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 2, trisomy 2p RN - Facial Dysmorphism with Multiple Malformations SB - IM MH - Abnormalities, Multiple/*diagnosis MH - Adult MH - Amniocentesis MH - Chromosomes, Human, Pair 2 MH - Comparative Genomic Hybridization MH - Craniofacial Abnormalities MH - Facies MH - Female MH - Fetal Growth Retardation/*diagnosis MH - Heart Septal Defects, Ventricular/*diagnosis MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotype MH - Mosaicism MH - Muscular Atrophy/*diagnosis MH - Oligohydramnios/*diagnosis MH - Polydactyly/*diagnosis MH - Pregnancy MH - Prenatal Diagnosis MH - Trisomy/*diagnosis OTO - NOTNLM OT - amniocentesis OT - cytogenetic discrepancy OT - mosaic trisomy 2 OT - prenatal diagnosis OT - trisomy 2 EDAT- 2013/10/01 06:00 MHDA- 2014/05/13 06:00 CRDT- 2013/10/01 06:00 PHST- 2013/06/13 00:00 [accepted] PHST- 2013/10/01 06:00 [entrez] PHST- 2013/10/01 06:00 [pubmed] PHST- 2014/05/13 06:00 [medline] AID - S1028-4559(13)00124-1 [pii] AID - 10.1016/j.tjog.2013.06.004 [doi] PST - ppublish SO - Taiwan J Obstet Gynecol. 2013 Sep;52(3):395-400. doi: 10.1016/j.tjog.2013.06.004.