Prenatal diagnosis of a fetus with distal 10q trisomy.

Abstract:

:Distal 10q trisomy is a well-defined but rare syndrome. Most cases are diagnosed in infancy or in childhood and rarely include prenatal findings. We present a case of fetal distal 10q trisomy with abnormal prenatal sonographic findings. A 19-year-old primigravida was referred for genetic counselling at 18 gestational weeks because her husband had a familial history of congenital anomalies. Genetic amniocentesis was thus performed and showed fetal distal 10q trisomy (10q24.1-->qter), 46,XX,der(22)t(10;22)(q24.1;p11.2)pat, resulting from paternal t(10;22) reciprocal translocation. Level II ultrasonograms further demonstrated bilateral hydronephrosis, ventricular septal defect and facial dysmorphism ascertained by three-dimensional ultrasound. The pregnancy was terminated at 22 gestational weeks. Post-mortem autopsy confirmed the sonographic findings. We suggest that abnormal prenatal sonographic findings such as cardio-vascular, renal and facial malformations should alert cytogeneticists to search for subtle chromosomal abnormalities.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Chen CP,Shih JC,Lee CC,Chen LF,Wang W,Wang TY

doi

10.1002/(sici)1097-0223(199909)19:9<876::aid-pd651

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

876-8

issue

9

eissn

0197-3851

issn

1097-0223

pii

10.1002/(SICI)1097-0223(199909)19:9<876::AID-PD651

journal_volume

19

pub_type

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