A parental diagnosis was performed for an unborn foetus of a healthy couple, who was due for ultrasound detection of multiple malformations and abnormal amniotic fluid karyotypes. For an accurate diagnosis, routine G-banding analysis and next-generation sequencing (NGS) were carried out. Finally, conventional cytogenetic analysis suggested that the foetus had a karyotype of 47,XX,+mar/46, XN, meanwhile NGS also revealed a partial tetrasomy of 27.84 Mb from 4q26-q31.21 (117,385,735–145,225,759), and G-banding analysis excluded the couple to have carried the 4q26-q31.21 duplication. We have identified a de novo mosaic small supernumerary marker chromosomes (sSMC) derived from 4q26-q31.21 in a foetus with hemivertebra, polydactyly, abnormal ears, and heart and ventricular septal defect.
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We thank the family who have participated in this study. This work was jointly supported by the Natural Science Foundation of China (no. 81701462) and Obstetric Diseases Translational Medicine Research Center Project of Liaoning Province (no. 2014225007).
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