PMID- 36088059 OWN - NLM STAT- MEDLINE DCOM- 20220913 LR - 20220913 IS - 1875-6263 (Electronic) IS - 1028-4559 (Linking) VI - 61 IP - 5 DP - 2022 Sep TI - Detection of mosaicism for 46,X,i(Y) (q10) in the blood lymphocytes in a phenotypically normal male neonate with prenatally detected 45,X/46, XY at amniocentesis and cytogenetic discrepancy in various tissues. PG - 873-875 LID - S1028-4559(22)00222-4 [pii] LID - 10.1016/j.tjog.2022.07.002 [doi] AB - OBJECTIVE: We present detection of mosaicism for 46,X,i(Y) (q10) in the blood lymphocytes in a phenotypically normal male neonate with prenatally detected 45,X/46, XY at amniocentesis and cytogenetic discrepancy in various tissues. CASE REPORT: A 35-year-old, gravida 2, para 1, woman underwent amniocentesis at 17 weeks of gestation because of advanced maternal age. Amniocentesis revealed a karyotype of 45,X [8]/46,XY [15]. Simultaneous array comparative genomic hybridization (aCGH) on uncultured amniocytes revealed the result of arr (Y) x 0-1 with 25.493-Mb mosaic deletion of chromosome Yp11.31-q11.23. Prenatal ultrasound findings were unremarkable. The fetus had normal male external genitalia on fetal ultrasound. Following genetic counseling, the pregnancy was carried to 38 weeks of gestation, and a phenotypically normal male baby was delivered without any abnormalities of the male external genitalia. The cord blood had a karyotypes of 46,X,i(Y) (q10)[8]/45,X[3]/46,XY [29], and placenta had a karyotypes of 45,X [25]/46,X,i(Y) (q10)[7]/46,XY [8]. When follow-up at age two months, the neonate was normal in development. The peripheral blood had a karyotypes of 46,X,i(Y) (q10)[8]/45,X[5]/46,XY [27]. Interphase fluorescence in situ hybridization (FISH) analysis on 101 buccal mucosal cells showed normal X and Y signals in 101/101 cells. CONCLUSION: Fetuses with 45,X/46, XY at amniocentesis can be associated with mosaicism for 46,X,i(Y) (q10) in the blood lymphocytes, cytogenetic discrepancy in various tissues and a favorable outcome. CI - Copyright (c) 2022. 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; School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; Institute of Clinical and Community Health Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Obstetrics and Gynecology, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Medical Laboratory Science and Biotechnology, Asia University, Taichung, Taiwan. Electronic address: cpc_mmh@yahoo.com. FAU - Chern, Schu-Rern AU - Chern SR AD - Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Chen, Shin-Wen AU - Chen SW AD - Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan. FAU - Wu, Fang-Tzu AU - Wu FT AD - Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan. FAU - Lee, Chen-Chi AU - Lee CC AD - Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan. FAU - Chen, Wen-Lin AU - Chen WL AD - Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan. FAU - Chen, Yun-Yi AU - Chen YY AD - Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Wang, Wayseen AU - Wang W AD - Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan. LA - eng PT - Case Reports PL - China (Republic : 1949- ) TA - Taiwan J Obstet Gynecol JT - Taiwanese journal of obstetrics & gynecology JID - 101213819 SB - IM MH - *Amniocentesis MH - Comparative Genomic Hybridization MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Lymphocytes MH - Male MH - *Mosaicism MH - Pregnancy MH - Prenatal Diagnosis OTO - NOTNLM OT - 45,X/46,XY OT - 46,X,i(Y) (q10) OT - Amniocentesis OT - Mosaicism COIS- Declaration of competing interest The authors have no conflicts of interest relevant to this article. EDAT- 2022/09/11 06:00 MHDA- 2022/09/14 06:00 CRDT- 2022/09/10 21:05 PHST- 2022/07/06 00:00 [accepted] PHST- 2022/09/10 21:05 [entrez] PHST- 2022/09/11 06:00 [pubmed] PHST- 2022/09/14 06:00 [medline] AID - S1028-4559(22)00222-4 [pii] AID - 10.1016/j.tjog.2022.07.002 [doi] PST - ppublish SO - Taiwan J Obstet Gynecol. 2022 Sep;61(5):873-875. doi: 10.1016/j.tjog.2022.07.002.