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一份 cfDNA-NIPT 检测结果不一致的报告揭示了一名 37 岁孕妇患有 12 号三体慢性淋巴细胞白血病。

Discordant cfDNA-NIPT result unraveling a trisomy 12 chronic lymphocytic leukemia in a 37 years old pregnant woman.

机构信息

Department of Molecular Medicine, Laboratory of Medical Genetics, Sapienza University, San Camillo-Forlanini Hospital, Rome, Italy.

Haematology and Stem Cell Transplantation Unit, San Camillo-Forlanini Hospital, Rome, Italy.

出版信息

Prenat Diagn. 2022 Jul;42(8):1000-1003. doi: 10.1002/pd.6158. Epub 2022 May 7.

Abstract

What's already known about this topic? Discordant NIPT results can rarely unravel maternal malignancies, especially when multiple chromosomal imbalances are reported. Both solid and hematological neoplasms have been described. What does this study add? This is the first case of a discordant NIPT result due to Chronic Lymphocytic Leukemia associated with trisomy of the chromosome 12. Putative maternal malignancy should be considered and investigated through sensitive techniques even in presence of a single chromosomal anomaly. This must be considered especially when the imbalance is known to recur in hematological neoplasms.

摘要

已知关于该主题的哪些内容?不一致的 NIPT 结果很少能揭示母体恶性肿瘤,尤其是当报告多个染色体不平衡时。已经描述了实体瘤和血液系统肿瘤。本研究增加了什么内容?这是首例由于慢性淋巴细胞白血病伴 12 号染色体三体引起的不一致的 NIPT 结果。即使存在单个染色体异常,也应通过敏感技术考虑并调查潜在的母体恶性肿瘤。当这种不平衡已知在血液系统肿瘤中反复出现时,尤其应考虑到这一点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ec8/9546086/09c25fae3120/PD-42-1000-g001.jpg

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