Lo Jamie O, Feist Cori D, Hashima Jason, Shaffer Brian L
Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Oregon Health & Sciences University, and the Department of Perinatology, Kaiser Permanente, Portland, Oregon.
Obstet Gynecol. 2015 Feb;125(2):387-389. doi: 10.1097/AOG.0000000000000528.
Noninvasive prenatal testing has a high detection rate of common fetal chromosomal aneuploidies. However, detection of additional chromosome abnormalities has not been well described or validated.
We report a case of Jacobsen syndrome, a congenital disorder involving deletion of chromosome 11q, detected by noninvasive prenatal testing at 14 weeks of gestation and confirmed on neonatal testing with array chromosomal genomic hybridization.
Noninvasive prenatal testing should be considered when multiple fetal anomalies are present and invasive testing is declined. As the clinical application of noninvasive prenatal testing continues to evolve, additional submicroscopic chromosomal information may be clinically helpful and should be confirmed with diagnostic testing until larger studies help further define the screening characteristics of noninvasive prenatal testing.
无创产前检测对常见胎儿染色体非整倍体具有较高的检测率。然而,对其他染色体异常的检测尚未得到充分描述或验证。
我们报告一例雅各布森综合征病例,这是一种涉及11号染色体长臂缺失的先天性疾病,在妊娠14周时通过无创产前检测发现,并经新生儿染色体基因组杂交阵列检测得以证实。
当存在多种胎儿异常且拒绝进行侵入性检测时,应考虑采用无创产前检测。随着无创产前检测临床应用的不断发展,更多亚微观染色体信息可能具有临床帮助,在大型研究进一步明确无创产前检测的筛查特征之前,应通过诊断性检测予以确认。