Chen Chih-Ping
Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan.
Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan.
J Med Ultrasound. 2022 Nov 9;31(1):13-16. doi: 10.4103/jmu.jmu_79_22. eCollection 2023 Jan-Mar.
Prenatal diagnosis of euploid increased nuchal translucency (NT) remains a challenge to obstetricians and genetic counselors, although increased euploid NT at prenatal diagnosis can be associated with a favorable outcome. Prenatal diagnosis of euploid increased NT should include a differential diagnosis of pathogenetic copy number variants and RASopathy disorders (RDs) including Noonan syndrome. Therefore, chromosomal microarray analysis, whole-exome sequencing, RASopathy-disorder testing, and protein-tyrosine phosphatase nonreceptor type 11 gene testing may be necessary under such a circumstance. In this report, a comprehensive review of RDs with its prenatal ultrasound findings and genotype-phenotype correlations is presented.
整倍体胎儿颈项透明层(NT)增厚的产前诊断对产科医生和遗传咨询师来说仍是一项挑战,尽管产前诊断时整倍体胎儿NT增厚可能与良好的预后相关。整倍体胎儿NT增厚的产前诊断应包括对致病性拷贝数变异和RAS病(RDs)(包括努南综合征)进行鉴别诊断。因此,在这种情况下,可能需要进行染色体微阵列分析、全外显子组测序、RAS病检测和蛋白酪氨酸磷酸酶非受体11型基因检测。在本报告中,我们对RDs及其产前超声检查结果和基因型-表型相关性进行了全面综述。