PMID- 35810440 OWN - NLM STAT- MEDLINE DCOM- 20220712 LR - 20220712 IS - 1003-9406 (Print) IS - 1003-9406 (Linking) VI - 39 IP - 7 DP - 2022 Jul 10 TI - [Mosaic trisomy 20: discrepancy between cyto-and molecular genetic technologies in prenatal diagnosis]. PG - 773-776 LID - 10.3760/cma.j.cn511374-20201013-00714 [doi] AB - OBJECTIVE: To provide genetic counseling and prenatal diagnosis for a fetus with mosaic trisomy 20. METHODS: Chromosomal karyotyping, chromosomal microarray analysis (CMA) and fluorescence in situ hybridization (FISH) were carried out for a pregnant woman with advanced maternal age. RESULTS: The karyotype of amniotic fluid sample was 47,XN,+20, whilst the result of CMA was normal. To verify this discrepancy, CMA was performed again with the cultured amniotic fluid, which yielded a result of 47,XN,+20. FISH assay of the amniotic fluid sample was nuc ish(D20Z1)x3[11]/(D20Z1)x2[89], which indicated that about 11% of fetal cells were trisomy 20. After the fetus was born, the karyotype of peripheral blood sample was normal. CONCLUSION: The amniotic fluid sample might be mosaic trisomy 20, and a dominant growth of 47,XN,+20 cells had occurred during the culture process, resulting in alteration of amniotic fluid cell composition. Mosaic trisomy 20 indicated by FISH may be attributed to confined placental mosaicism or somatic mosaicism of trisomy 20. FAU - Jin, Chunyan AU - Jin C AD - Department of Medical Genetics and Prenatal Diagnosis, Taizhou People's Hospital, Taizhou, Jiangsu 225300, China. gupingpingjiajia@sina.com. FAU - Xu, Tianhui AU - Xu T FAU - Chen, Jiao AU - Chen J FAU - Li, Xuefang AU - Li X FAU - Gu, Zhiping AU - Gu Z LA - chi PT - Journal Article PL - China TA - Zhonghua Yi Xue Yi Chuan Xue Za Zhi JT - Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics JID - 9425197 RN - Chromosome 20, trisomy SB - IM MH - *Amniocentesis/methods MH - Amniotic Fluid MH - Chromosomes, Human, Pair 20 MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Molecular Biology MH - *Mosaicism MH - Placenta MH - Pregnancy MH - Prenatal Diagnosis/methods MH - Trisomy/diagnosis/genetics EDAT- 2022/07/11 06:00 MHDA- 2022/07/14 06:00 CRDT- 2022/07/10 13:59 PHST- 2022/07/10 13:59 [entrez] PHST- 2022/07/11 06:00 [pubmed] PHST- 2022/07/14 06:00 [medline] AID - 940639151 [pii] AID - 10.3760/cma.j.cn511374-20201013-00714 [doi] PST - ppublish SO - Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2022 Jul 10;39(7):773-776. doi: 10.3760/cma.j.cn511374-20201013-00714.