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Discordant NIPT result in a viable trisomy-21 pregnancy due to prolonged contribution to cfDNA by a demised trisomy-14 cotwin.

Authors :
Hochstenbach R
Elferink MG
van Zon PHA
Lichtenbelt KD
van Harssel J
Schuring-Blom H
Page-Christiaens GCML
Source :
Clinical case reports [Clin Case Rep] 2018 Mar 07; Vol. 6 (5), pp. 788-791. Date of Electronic Publication: 2018 Mar 07 (Print Publication: 2018).
Publication Year :
2018

Abstract

One of the confounders in noninvasive prenatal testing (NIPT) is the vanishing twin phenomenon. Prolonged contribution to the maternal Cell-free DNA (cfDNA) pool by cytotrophoblasts representing a demised, aneuploid cotwin may lead to a false-positive outcome for a normal, viable twin. We show that a vanishing trisomy-14 twin contributes to cfDNA for more than 2 weeks after demise.

Details

Language :
English
ISSN :
2050-0904
Volume :
6
Issue :
5
Database :
MEDLINE
Journal :
Clinical case reports
Publication Type :
Report
Accession number :
29744057
Full Text :
https://doi.org/10.1002/ccr3.1424