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Prenatal identification of i(YP) by molecular cytogenetic analysis
Authors:Boris B T Wang PhD  Loh-Chung Yu  Willow Peng  Rena E Falk  John Williams III
Institution:1. Department of Laboratory Medicine, University of California, San Francisco, San Francisco, CA, U.S.A.;2. The Prenatal Diagnostic Center of Southern California, Inc., Beverly Hills, CA, U.S.A.;3. Division of Medical Genetics, Cedars-Sinai Medical Center, Los Angeles, CA, U.S.A.
Abstract:An i(Yp) is a rare marker chromosome. We present a case of de novo 46,X,i(Yp) detected prenatally in an amniotic fluid specimen. Fluorescence in situ hybridization (FISH) studies using a panel of Y-specific biotinylated DNA probes identified the marker chromosome as i(Yp). Comparative genomic hybridization (CGH) studies further confirmed the diagnosis. Upon pregnancy termination, external examination of the fetus revealed a generally well-developed male fetus with slight facial dysmorphism and prominent rocker-bottom feet. The molecular cytogenetic data in this case proved very useful in genetic counselling and served as a good example illustrating the important role of molecular techniques for accurate identification of marker chromosomes.
Keywords:isochromosome  FISH  CGH  prenatal diagnosis
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