Evidence map›Paper›PMID 29093756›Full record

ArticleMolecular cytogenetics2017

A case of placental trisomy 18 mosaicism causing a false negative NIPT result.

Jiexia Yang, Yiming Qi, Fangfang Guo, Yaping Hou, Haishan Peng, Dongmei Wang, Haoxin Oy, Aihua Yin

Abstract readCase Reports
In one paragraph

Article in Molecular cytogenetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jiexia Yang *Prenatal Diagnosis Centre, Guangdong Women and Children Hospital, Guangzhou, Guangdong 511400 China.
Yiming Qi *Prenatal Diagnosis Centre, Guangdong Women and Children Hospital, Guangzhou, Guangdong 511400 China.
Fangfang GuoPrenatal Diagnosis Centre, Guangdong Women and Children Hospital, Guangzhou, Guangdong 511400 China.
Yaping HouPrenatal Diagnosis Centre, Guangdong Women and Children Hospital, Guangzhou, Guangdong 511400 China.
Haishan PengPrenatal Diagnosis Centre, Guangdong Women and Children Hospital, Guangzhou, Guangdong 511400 China.
Dongmei WangPrenatal Diagnosis Centre, Guangdong Women and Children Hospital, Guangzhou, Guangdong 511400 China.
Haoxin OyPrenatal Diagnosis Centre, Guangdong Women and Children Hospital, Guangzhou, Guangdong 511400 China.
Aihua YinPrenatal Diagnosis Centre, Guangdong Women and Children Hospital, Guangzhou, Guangdong 511400 China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe non-invasive prenatal testing that evaluates circulating cell free DNA, and has been established as an additional pregnancy test for detecting the common fetal trisomies 21, 18 and 13 is rapidly revolutionizing prenatal screening as a result of its increased sensitivity and specificity. However, false positive and false negative results still exist. CASE PRESENTATION: We presented a case in which the non-invasive prenatal testing results were normal at 15 gestational age (GA), but an ultrasound examination at 30GA showed that the fetus had heart abnormalities, and the third trimester ultrasound at 33GA noted multiple anomalies including a 3.0 mm ventricular septal defect. Along with cordocentesis at 33GA, the cord blood sample cytogenetics analysis showed a mos 47,XN,+18[61]/46,XN[39] T18 karyotype. Six placental biopsies confirmed that the chromosome 18 placenta chimerism ratio had changed from 33% to 72%. Ultimately, the pregnancy was interrupted at 34GA.

conclusionsWe presented this case to highlight the need to clearly explain false positive or false negative results to patients. We believe that this information will also influence the development of future diagnostic test methodologies.

Indexed as

Cell-free DNA (cfDNA)False negativePlacental mosaicismThe non-invasive prenatal testing (NIPT)

Identifiers

PMID29093756
PMCPMC5658983

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.