Chromosome mosaicism and maternal cell contamination in chorionic villi

Sau W. Cheung, James P. Crane, Heidi A. Beaver, Ann C. Burgess

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    26 Scopus citations

    Abstract

    While chorionic villus sampling allows both early and rapid prenatal diagnosis of chromosome disorders, the accuracy of this technique has not been fully established. Maternal cell contamination and pseudomosaicism represent two major sources of diagnostic error. Combined use of both direct chromosome preparations and villus cultures is important in overcoming these problems. Direct preparations of villus tissue allow recognition of maternal cell contamination of villus cultures. Conversely, villus cultures yield higher resolution chromosomes and may be helpful in differentiating between true versus pseudomosaicism when two or more cell lines are identified in direct chromosome preparations. Preliminary data suggest that analysis of direct preparations from multiple individually processed villus fragments may also be of value in this regard. Until more experience is gained, mid‐trimester amniocentesis should be offered to CVS patients when mosaicism is encountered.

    Original languageEnglish
    Pages (from-to)535-542
    Number of pages8
    JournalPrenatal Diagnosis
    Volume7
    Issue number8
    DOIs
    StatePublished - Oct 1987

    Keywords

    • Chorionic villus sampling
    • Chromosome analysis
    • Direct chromosome preparations
    • Mosaicism
    • Prenatal diagnosis

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