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胎儿膈疝合并8p23.1缺失的产前诊断及文献复习

Prenatal diagnosis of an 8p23.1 deletion in a fetus with a diaphragmatic hernia and review of the literature.

作者信息

Faivre L, Morichon-Delvallez N, Viot G, Narcy F, Loison S, Mandelbrot L, Aubry M C, Raclin V, Edery P, Munnich A, Vekemans M

机构信息

Département de Génétique, Hôpital Necker Enfants Malades, Paris, France.

出版信息

Prenat Diagn. 1998 Oct;18(10):1055-60. doi: 10.1002/(sici)1097-0223(1998100)18:10<1055::aid-pd405>3.0.co;2-i.

Abstract

The prenatal diagnosis of an 8p23.1 deletion is reported. The diagnosis was ascertained at 22 weeks of gestation because of the discovery of a diaphragmatic hernia at ultrasound. Following cytogenetic studies and counselling, the pregnancy was terminated. An autopsy confirmed the presence of a diaphragmatic hernia and revealed also the existence of an atrio-ventricular canal (AVC) and an atrial septal defect (ASD). The clinical features of this antenatally diagnosed case are compared with those observed in 16 previously reported cases with an identical deletion of the short arm of chromosome 8. This suggests that a deletion 8p23.1 should be considered whenever a diaphragmatic hernia and/or an AVC is detected on ultrasound.

摘要

本文报告了一例8p23.1缺失的产前诊断病例。该诊断于妊娠22周时通过超声检查发现膈疝而得以确定。经过细胞遗传学研究和咨询后,终止了妊娠。尸检证实存在膈疝,还发现存在房室通道(AVC)和房间隔缺损(ASD)。将该产前诊断病例的临床特征与之前报道的16例具有相同8号染色体短臂缺失的病例所观察到的特征进行了比较。这表明,当超声检查发现膈疝和/或AVC时,应考虑8p23.1缺失的情况。

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