Quantitative fluorescent polymerase chain reaction for rapid prenatal diagnosis of fetal aneuploidies in chorionic villus sampling in a single institution.
10.5468/ogs.2016.59.6.444
- Author:
You Jung SHIN
1
;
Jin Hoon CHUNG
;
Do Jin KIM
;
Hyun Mee RYU
;
Moon Young KIM
;
Jung Yeol HAN
;
June Seek CHOI
Author Information
1. Department of Obstetrics and Gynecology, Hankook General Hospital, Jeju, Korea.
- Publication Type:Original Article
- Keywords:
Chorionic villi sampling;
Fluorescence;
Polymerase chain reaction;
Prenatal diagnosis
- MeSH:
Aneuploidy*;
Anxiety;
Chorion*;
Chorionic Villi Sampling*;
Chorionic Villi*;
Cytogenetic Analysis;
Diagnosis;
Down Syndrome;
Female;
Fluorescence;
Hospitals, General;
Humans;
Maternal Age;
Medical Records;
Mosaicism;
Nuchal Translucency Measurement;
Parents;
Polymerase Chain Reaction*;
Pregnancy;
Pregnant Women;
Prenatal Diagnosis*;
Retrospective Studies;
Trisomy
- From:Obstetrics & Gynecology Science
2016;59(6):444-453
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To validate quantitative fluorescent polymerase chain reaction (QF-PCR) via chorionic villus sampling (CVS) for the diagnosis of fetal aneuploidies. METHODS: We retrospectively reviewed the medical records of consecutive pregnant women who had undergone CVS at Cheil General Hospital between December 2009 and June 2014. Only cases with reported QF-PCR before long-term culture (LTC) for conventional cytogenetic analysis were included, and the results of these two methods were compared. RESULTS: A total of 383 pregnant women underwent QF-PCR and LTC via CVS during the study period and 403 CVS specimens were collected. The indications of CVS were as follows: abnormal first-trimester ultrasonographic findings, including increased fetal nuchal translucency (85.1%), advanced maternal age (6.8%), previous history of fetal anomalies (4.2%), and positive dual test results for trisomy 21 (3.9%). The results of QF-PCR via CVS were as follows: 76 (18.9%) cases were identified as trisomy 21 (36 cases), 18 (33 cases), or 13 (seven cases), and 4 (1.0%) cases were suspected to be mosaicism. All results of common autosomal trisomies by QF-PCR were consistent with those of LTC and there were no false-positive findings. Four cases suspected as mosaicism in QF-PCR were confirmed as non-mosaic trisomies of trisomy 21 (one case) or trisomy 18 (three cases) in LTC. CONCLUSION: QF-PCR via CVS has the advantage of rapid prenatal screening at an earlier stage of pregnancy for common chromosomal trisomies and thus can reduce the anxiety of parents. In particular, it can be helpful for pregnant women with increased fetal nuchal translucency or abnormal first-trimester ultrasonographic findings.
