摘要

Objective: To describe a de novo complex chromosome rearrangement (CCR) detected prenatally and studied after birth. Methods: Conventional cytogenetics and fluorescent in situ hybridization (FISH) were performed on amniotic fluid and peripheral blood. High-resolution comparative genomic hybridization (HR-CGH) analysis was made postnatally. Results: Prenatal/postnatal cytogenetic, FISH and HR-CGH analyses revealed an apparently balanced de novo CCR ascertained as 46, XY, t( 2; 3; 9)(q21; p24; q22), der(5) inv( 5)(?p11 q13) t(5; 11)(?p13; q25),ins(5; 3)(?p13;? p23p24). At 9 months, the child has neither congenital anomalies nor evidence of delayed psychomotor development. Conclusions: Our report describes a rare CCR detected prenatally and shows the usefulness of FISH and CGH in complementing conventional cytogenetics.