Precise DNA Genotyping Diagnosis of Hydatidiform Mole

To estimate whether tissue DNA genotyping is effective for the confirmation and subclassification of hydatidiform moles. Consecutive cases of products of conception were selected based on histologic alterations that are suspicious for molar pregnancy. DNA genotyping was performed by a multiplex poly...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 2010-04, Vol.115 (4), p.784-794
Hauptverfasser: Lipata, Fredilyn, Parkash, Vinita, Talmor, Monica, Bell, Susan, Chen, Suping, Maric, Vesna, Hui, Pei
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container_issue 4
container_start_page 784
container_title Obstetrics and gynecology (New York. 1953)
container_volume 115
creator Lipata, Fredilyn
Parkash, Vinita
Talmor, Monica
Bell, Susan
Chen, Suping
Maric, Vesna
Hui, Pei
description To estimate whether tissue DNA genotyping is effective for the confirmation and subclassification of hydatidiform moles. Consecutive cases of products of conception were selected based on histologic alterations that are suspicious for molar pregnancy. DNA genotyping was performed by a multiplex polymerase chain reaction targeting 15 tetrameric polymorphic loci of the human genome. A total of 205 products of conception were included. DNA genotyping was informative in all, leading to the final identification of 60 cases of hydatidiform moles, including 17 complete and 43 partial moles. Among 17 cases of complete moles, 14 cases were monospermic and three were dispermic. Forty-three cases were confirmed as triploid partial moles, 42 of which were dispermic and one was monospermic. Among nonmolar cases, 32 gestations showed allelic changes indicating chromosomal alterations, including 28 cases of trisomy syndrome: trisomy 16 (eight cases), trisomy 21 (six cases), trisomy 7 (three cases), trisomy 13 (three cases), trisomy 4 (one case), trisomy 8 (one case), trisomy 18 (one case), XXY/Klinefelter syndrome (one case), and multiple trisomies (four cases). Monosomy 22 was seen in one case. Two nonmolar cases were triploid digynic-monoandric gestations. More complex chromosomal abnormalities were seen in one case. The remaining 113 cases were balanced biallelic gestations. Tissue DNA genotyping is a practical and highly accurate method for the confirmation and subclassification of hydatidiform moles. III.
doi_str_mv 10.1097/AOG.0b013e3181d489ec
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Consecutive cases of products of conception were selected based on histologic alterations that are suspicious for molar pregnancy. DNA genotyping was performed by a multiplex polymerase chain reaction targeting 15 tetrameric polymorphic loci of the human genome. A total of 205 products of conception were included. DNA genotyping was informative in all, leading to the final identification of 60 cases of hydatidiform moles, including 17 complete and 43 partial moles. Among 17 cases of complete moles, 14 cases were monospermic and three were dispermic. Forty-three cases were confirmed as triploid partial moles, 42 of which were dispermic and one was monospermic. Among nonmolar cases, 32 gestations showed allelic changes indicating chromosomal alterations, including 28 cases of trisomy syndrome: trisomy 16 (eight cases), trisomy 21 (six cases), trisomy 7 (three cases), trisomy 13 (three cases), trisomy 4 (one case), trisomy 8 (one case), trisomy 18 (one case), XXY/Klinefelter syndrome (one case), and multiple trisomies (four cases). Monosomy 22 was seen in one case. Two nonmolar cases were triploid digynic-monoandric gestations. More complex chromosomal abnormalities were seen in one case. The remaining 113 cases were balanced biallelic gestations. Tissue DNA genotyping is a practical and highly accurate method for the confirmation and subclassification of hydatidiform moles. 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Among nonmolar cases, 32 gestations showed allelic changes indicating chromosomal alterations, including 28 cases of trisomy syndrome: trisomy 16 (eight cases), trisomy 21 (six cases), trisomy 7 (three cases), trisomy 13 (three cases), trisomy 4 (one case), trisomy 8 (one case), trisomy 18 (one case), XXY/Klinefelter syndrome (one case), and multiple trisomies (four cases). Monosomy 22 was seen in one case. Two nonmolar cases were triploid digynic-monoandric gestations. More complex chromosomal abnormalities were seen in one case. The remaining 113 cases were balanced biallelic gestations. Tissue DNA genotyping is a practical and highly accurate method for the confirmation and subclassification of hydatidiform moles. 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Placenta</topic><topic>Tandem Repeat Sequences</topic><topic>Uterine Neoplasms - classification</topic><topic>Uterine Neoplasms - diagnosis</topic><topic>Uterine Neoplasms - genetics</topic><topic>Uterine Neoplasms - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lipata, Fredilyn</creatorcontrib><creatorcontrib>Parkash, Vinita</creatorcontrib><creatorcontrib>Talmor, Monica</creatorcontrib><creatorcontrib>Bell, Susan</creatorcontrib><creatorcontrib>Chen, Suping</creatorcontrib><creatorcontrib>Maric, Vesna</creatorcontrib><creatorcontrib>Hui, Pei</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lipata, Fredilyn</au><au>Parkash, Vinita</au><au>Talmor, Monica</au><au>Bell, Susan</au><au>Chen, Suping</au><au>Maric, Vesna</au><au>Hui, Pei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Precise DNA Genotyping Diagnosis of Hydatidiform Mole</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>2010-04-01</date><risdate>2010</risdate><volume>115</volume><issue>4</issue><spage>784</spage><epage>794</epage><pages>784-794</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>To estimate whether tissue DNA genotyping is effective for the confirmation and subclassification of hydatidiform moles. 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subjects Biological and medical sciences
Chromosome Disorders - diagnosis
Chromosome Disorders - genetics
Diseases of mother, fetus and pregnancy
DNA, Neoplasm - genetics
Female
Genotype
Gynecology. Andrology. Obstetrics
Humans
Hydatidiform Mole - classification
Hydatidiform Mole - diagnosis
Hydatidiform Mole - genetics
Hydatidiform Mole - pathology
Medical sciences
Polymerase Chain Reaction
Pregnancy
Pregnancy. Fetus. Placenta
Tandem Repeat Sequences
Uterine Neoplasms - classification
Uterine Neoplasms - diagnosis
Uterine Neoplasms - genetics
Uterine Neoplasms - pathology
title Precise DNA Genotyping Diagnosis of Hydatidiform Mole
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