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首页> 外文期刊>Taiwanese journal of obstetrics and gynecology >Prenatal diagnosis and molecular cytogenetic characterization of a de novo interstitial duplication of 14q (14q31.3→q32.12) associated with abnormal maternal serum biochemistry.
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Prenatal diagnosis and molecular cytogenetic characterization of a de novo interstitial duplication of 14q (14q31.3→q32.12) associated with abnormal maternal serum biochemistry.

机译:产前血清间质重复14q(14q31.3→q32.12)与母体血清生化异常相关的产前诊断和分子细胞遗传学特征。

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OBJECTIVE: To present prenatal diagnosis and molecular cytogenetic characterization of a de novo interstitial duplication of 14q (14q31.3→q32.12) in a pregnancy associated with abnormal maternal serum biochemistry. CASE REPORT: A 19-year-old woman underwent amniocentesis in the second trimester because of abnormal maternal serum biochemistry. Her husband was 33 years old. At 16 weeks of gestation, the levels of α-fetoprotein, unconjugated estriol, total β-human chorionic gonadotropin, and inhibin A were 0.8 multiples of median (MoM), 0.84 MoM, 3.06 MoM, and 1.14 MoM, respectively, consistent with a positive trisomy 21 risk of 1/269. Results of an amniocentesis revealed a small de novo interstitial duplication of 14q encompassing 14q31-q32.1. An array comparative genomic hybridization analysis detected a 6.6-Mb duplication at chromosome 14q31.3-q32.12. Results of a fluorescence in situ hybridization analysis showed a direct duplication of interstitial 14q. The karyotype was 46,XY,dup(14) (q31.3q32.12). Level II ultrasound was unremarkable. The parents decided to continue the pregnancy. A 3805-g healthy male baby was delivered at 39 weeks of gestation. When examined at 6 months of age, the neonate was normal in growth and psychomotor development with no apparent phenotypic abnormalities, although long-term follow-ups are required. CONCLUSION: Abnormal maternal serum biochemistry in the second trimester may be a distinctive prenatal feature in pregnancy associated with fetal chromosome 14q duplication.
机译:目的:介绍与母亲血清生化异常相关的妊娠中14q(14q31.3→q32.12)从头间质复制的产前诊断和分子细胞遗传学特征。病例报告:一名19岁妇女由于孕妇血清生化异常而在孕中期进行了羊膜穿刺术。她的丈夫今年33岁。妊娠16周时,甲胎蛋白,未结合的雌三醇,总β-人绒毛膜促性腺激素和抑制素A的水平分别为中位数(MoM)的0.8倍,0.84 MoM,3.06 MoM和1.14 MoM,与阳性三体性21的风险为1/269。羊膜腔穿刺术的结果显示14q有一个小的从头间隙复制,包括14q31-q32.1。阵列比较基因组杂交分析在14q31.3-q32.12染色体上检测到6.6 Mb重复。荧光原位杂交分析结果表明,间质14q直接重复。核型为46,XY,dup(14)(q31.3q32.12)。 II级超声效果不明显。父母决定继续怀孕。妊娠39周时分娩了3805 g的健康男性婴儿。在6个月大时进行检查,尽管需要长期随访,但新生儿的生长和精神运动发育正常,没有明显的表型异常。结论:孕中期孕妇血清生化异常可能是与胎儿14q染色体重复有关的妊娠的独特产前特征。

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