Santolaya-Forgas Joaquin, De Leon Juan, Powell Wm Cameron, Tonk Vijay
Division of Reproductive Genetics, Fetal Medicine and Ultrasound, Department of Obstetrics and Gynecology, Texas Tech University and Health Science Center, Coulter, Amarillo, Texas 79106, USA.
Prenat Diagn. 2004 Mar;24(3):209-12. doi: 10.1002/pd.830.
A case of prenatally detected partial trisomy 15 and 16 is reported. Amniocentesis was performed at 14 weeks' gestation because a 6-mm nuchal translucency was detected on a dating ultrasound evaluation. Karyotype from amniocytes was suspect of an aberration concerning a marker chromosome. FISH analysis demonstrated that this marker chromosome was a der(15). A maternal chromosomal rearrangement t(15;16)(q13;p13.2) was confirmed. At birth, the proband was severely hydropic and had dysmorphic features, which included hypertelorism, micrognathia, incomplete separation of the maxilla and mandible, hyperflexed hands with overlapping fingers, hyposegmented right lung, and a single umbilical artery.
报告了1例产前检测出15号和16号染色体部分三体的病例。因在孕早期超声检查时发现6mm的颈项透明层,于孕14周进行了羊膜腔穿刺术。羊水细胞的核型怀疑存在与一条标记染色体有关的畸变。荧光原位杂交分析表明这条标记染色体是一条der(15)。确认存在母源性染色体重排t(15;16)(q13;p13.2)。患儿出生时严重水肿,具有畸形特征,包括眼距增宽、小颌畸形、上颌骨和下颌骨未完全分离、双手过度屈曲且手指重叠、右肺叶发育不全以及单脐动脉。