Cytogenetics (prenatal and fetal)
Last updated: Monday, 06, August, 2007
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Consult pathologist prior to specimen collection. All specimens must be delivered immediately to the laboratory.
Chorionic villus sampling (CVS): 5-15 mg of tissue in a sterile container with tissue culture medium.
Amniotic fluid: 20 mL of amniotic fluid collected into 2 x 10 mL sterile containers.
If foetal death in utero has occurred: foetal tissue (especially cartilage or cord) collected aseptically and placed in sterile saline or tissue culture medium.
Direct, short term and/or long term cultures are used depending on clinical requirements.
Results may take from 2 days to 3 weeks for completion. T
he type and duration of culture vary for the indication and specimen type.
Cytogenetic harvesting, slidemaking, banding and karyotyping are performed on all specimens.
Fluorescence in situ hybridisation (FISH) on metaphase spreads may increase the accuracy of cytogenetic diagnoses in some situations.
Pregnancies at risk include:
Investigation is also appropriate if abnormalities are detected on ultrasound or identified after delivery and following unexplained stillbirth or neonatal death.
Findings are reported in terms of numerical and/or structural chromosome abnormalities (eg, deletions, translocations) - consult pathologist.
Rooney DE ed. Human Cytogenetics, Constitutional Analysis, a Practical Approach. 3rd ed. Oxford University Press 2001.
Gardner RJM and Sutherland GR. Chromosome Abnormalities and Genetic Counselling. 3rd ed. Oxford University Press 2004.