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Table 6 Cases with high risk of combined screening test but low risk NIPT

From: Investigation on combined copy number variation sequencing and cytogenetic karyotyping for prenatal diagnosis

 

Maternal serum screening

Fetal ultrasound

Maternal age (years)

Fetal CNV-seq results

Fetal karyotypes

Pregnancy outcomes

1

N/A

Ventriculomegaly, cardiac malformations, pulmonary dysplasia

28

47,XN,+ 13[40%]/46,XN[60%]

47,XY,+ 13[12]/46,XY[74]

Termination of pregnancy

2

High risk

Imbalance of head-body ratio, double outlet right ventricle, absent left lung

27

Normal

69,XXX

Termination of pregnancy

3

Low risk

Nasal bone dysplasia

30

Likely benign variation

46,XX,t(11;17)(q21;q23)

Continue pregnancy

4

N/A

Right aortic arch

36

Likely benign variation

46,XN,inv.(9)(p12q13)

Continue pregnancy

5

Low risk

Enhanced echo in both kidneys and intestine, pleural effusion

31

Likely benign variation

46,XX,t(12;22)(q24.1;q13)

Continue pregnancy

6

Threshold risk

Right choroid plexus cyst

28

Likely benign variation

46,XY,1qh+

Continue pregnancy

7

Low risk

Normal

40

Normal

46,XX,inv.(19)(p13.3q13.1)

Continue pregnancy

8

N/A

Normal

36

Normal

46,XY,t(8;16)(q12;q21)mat

Continue pregnancy

9

N/A

Duodenal atresia

23

Normal

46,XX,t(2;7)(q13;q22)

Continue pregnancy

10

N/A

Nasal bone absent

38

Normal

46,XY,15 ps+

Continue pregnancy

11

N/A

Thickened ventricular wall, small heart size, enlarged liver and spleen

26

Normal

46,XY,21 ps+

 

12

Low risk

Holoprosencephaly, clearly displayed nasal bones, incontinuity of upper alveolar process

31

Normal

Chorionic villus sampling, no karyotyping

Termination of pregnancy

13

N/A

Ventricular septal defect, hemivertebra, scoliosis

26

Normal

Normal

Termination of pregnancy

14

N/A

Holoprosencephaly, agenesis of corpus callosum, hydrocephalus

33

Normal

Normal

Termination of pregnancy

15

N/A

Absent right lung, Tetralogy of Fallot, hemivertebrae

25

Normal

Normal

Termination of pregnancy

16

Threshold risk

Complete endocardial cushion defect

25

Normal

Normal

Termination of pregnancy

17

N/A

Left ventricular rhabdomyomas, strephenopodia

36

Normal

Normal

Termination of pregnancy

18

Low risk

Left microtia, nasal dysplasia, atresia of nostril

35

Normal

Normal

Termination of pregnancy

19

N/A

Ventricular septal defect, pulmonary artery stenosis, missing pubic bones, hooked hands

33

Normal

Normal

Termination of pregnancy