Bisatellited microchromosomes and multiple congenital malformations.

J Chemke, S Rappaport, R Nisani, B M Mogilner
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Abstract

The significance of small additional metacentric chromosomes is still unclear. A patient is reported with multiple congenital malformations involving craniofacial structures, the cardiovascular system and gastrointestinal tract, in whom an extra small bisatellited chromosome was detected. The maternal karyotype revealed a marker number 9 chromosome. These cases present a true diagnostic dilemma in genetic counseling, since chromosomal instability may occur in the presence of parental minor structural chromosomal changes.

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双卫星微染色体和多种先天性畸形。
小附加的异心染色体的意义尚不清楚。我们报告了一例涉及颅面结构、心血管系统和胃肠道的多重先天性畸形患者,其中检测到一个额外的小双卫星染色体。母系核型显示标记号为9号染色体。这些病例在遗传咨询中提出了一个真正的诊断困境,因为染色体不稳定可能发生在父母轻微的结构性染色体改变的情况下。
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