Journal
JOURNAL OF CLINICAL MEDICINE
Volume 3, Issue 3, Pages 809-837Publisher
MDPI
DOI: 10.3390/jcm3030809
Keywords
chromosome mosaicism; chorionic villi; mesenchyme; cytotrophoblast; amniocentesis; uniparental disomy; confined placental mosaicism; true fetal mosaicism; non-invasive prenatal screening
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Chromosomal mosaicism is one of the primary interpretative issues in prenatal diagnosis. In this review, the mechanisms underlying feto-placental chromosomal mosaicism are presented. Based on the substantial retrospective diagnostic experience with chorionic villi samples (CVS) of a prenatal diagnosis laboratory the following items are discussed: (i) The frequency of the different types of mosaicism (confined placental, CPM, and true fetal mosaicisms, TFM); (ii) The risk of fetal confirmation after the detection of a mosaic in CVS stratified by chromosome abnormality and placental tissue involvement; (iii) The frequency of uniparental disomy for imprinted chromosomes associated with CPM; (iv) The incidence of false-positive and false-negative results in CVS samples analyzed by only (semi-) direct preparation or long term culture; and (v) The implications of the presence of a feto-placental mosaicism for microarray analysis of CVS and non-invasive prenatal screening (NIPS).
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