PMID- 29241930 OWN - NLM STAT- MEDLINE DCOM- 20180801 LR - 20180801 IS - 1875-6263 (Electronic) IS - 1028-4559 (Linking) VI - 56 IP - 6 DP - 2017 Dec TI - Prenatal diagnosis and molecular cytogenetic characterization of low-level mosaicism for tetrasomy 18p at amniocentesis in a pregnancy with a favorable outcome. PG - 836-839 LID - S1028-4559(17)30263-2 [pii] LID - 10.1016/j.tjog.2017.10.024 [doi] AB - OBJECTIVE: We present prenatal diagnosis of low-level mosaicism for tetrasomy 18p at amniocentesis in a pregnancy with a favorable outcome. CASE REPORT: A 40-year-old woman underwent amniocentesis at 17 weeks of gestation because of advanced maternal age. Amniocentesis revealed a de novo supernumerary isochromosome 18p in eight of 39 colonies of cultured amniocytes. The karyotype was 47,XX,+i(18)(p10)[8]/46,XX[31]. Array comparative genomic hybridization (aCGH) analysis using uncultured amniocytes revealed arr 18p11.32p11.21 [hg 19] (148,963-14,081,887) x 2-3. Repeat amniocentesis was performed at 20 weeks of gestation. Interphase fluorescence in situ hybridization (FISH) analysis showed four 18p11.22-specific probe (RP11-918F20) signals in 11.7% (12/103 cells) of uncultured amniocytes. aCGH analysis on uncultured amniocytes did not detect genomic imbalance in chromosome 18. The parental karyotypes were normal. Polymorphic DNA marker analysis excluded uniparental disomy 18. Cytogenetic analysis of cultured amniocytes at repeat amniocentesis revealed a karyotype of 47,XX,+i(18)(p10)[2]/46,XX[12]. Prenatal ultrasound was unremarkable. The pregnancy was carried to 38 weeks of gestation, and a 2742-g phenotypically normal female baby was delivered with a cord blood karyotype of 46,XX. When examined at 8 months of age, the infant was normal in growth and psychomotor development. Interphase FISH analysis on 21 uncultured urinary cells revealed normal signals in all cells and no mosaic tetrasomy 18p. CONCLUSION: Low-level mosaic tetrasomy 18p at amniocentesis without ultrasound abnormalities can be associated with a favorable outcome. CI - Copyright (c) 2017. 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 - Ko, Tsang-Ming AU - Ko TM AD - Genephile Bioscience Laboratory, Ko's Obstetrics and Gynecology, Taipei, Taiwan. FAU - Chen, Yi-Yung AU - Chen YY AD - Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Chern, Schu-Rern AU - Chern SR AD - Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Wu, Peih-Shan AU - Wu PS AD - Gene Biodesign Co. Ltd, Taipei, Taiwan. FAU - Chen, Shin-Wen AU - Chen SW AD - Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Lai, Shih-Ting AU - Lai ST AD - Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Chuang, Tzu-Yun AU - Chuang TY AD - Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Yang, Chien-Wen AU - Yang CW AD - Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Pan, Chen-Wen AU - Pan CW AD - Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Wang, Wayseen AU - Wang W AD - Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan; Department of Bioengineering, Tatung University, Taipei, Taiwan. LA - eng PT - Case Reports PT - Journal Article PL - China (Republic : 1949- ) TA - Taiwan J Obstet Gynecol JT - Taiwanese journal of obstetrics & gynecology JID - 101213819 RN - Chromosome 18, tetrasomy 18p SB - IM MH - Adult MH - Amniocentesis/*methods MH - Aneuploidy MH - Chromosome Disorders/*diagnosis/embryology/genetics MH - Chromosomes, Human, Pair 18/genetics MH - Comparative Genomic Hybridization/methods MH - Cytogenetic Analysis/methods MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Infant, Newborn MH - Karyotype MH - Live Birth MH - Maternal Age MH - Mosaicism/*embryology MH - Pregnancy OTO - NOTNLM OT - Amniocentesis OT - Mosaic tetrasomy 18p OT - Prenatal diagnosis OT - Supernumerary isochromosome 18p EDAT- 2017/12/16 06:00 MHDA- 2018/08/02 06:00 CRDT- 2017/12/16 06:00 PHST- 2017/10/17 00:00 [accepted] PHST- 2017/12/16 06:00 [entrez] PHST- 2017/12/16 06:00 [pubmed] PHST- 2018/08/02 06:00 [medline] AID - S1028-4559(17)30263-2 [pii] AID - 10.1016/j.tjog.2017.10.024 [doi] PST - ppublish SO - Taiwan J Obstet Gynecol. 2017 Dec;56(6):836-839. doi: 10.1016/j.tjog.2017.10.024.