Understanding the Limitations of Circulating Cell Free Fetal DNA: An Example of Two Unique Cases

Autor: Cecily A, Clark-Ganheart, Sara N, Iqbal, Donna L, Brown, Susan, Black, Melissa H, Fries
Rok vydání: 2014
Předmět:
Zdroj: Journal of clinical gynecology and obstetrics. 3(2)
ISSN: 1927-1271
Popis: Circulating cell free fetal DNA (cffDNA) is an effective screening modality for fetal aneuploidy. We report two cases of false positive results. The first case involves a female, with self-reported Down syndrome. CffDNA returned positive for trisomy 18 leading to a maternal diagnosis of mosaicism chromosome 18 with normal fetal karyotype. The second case involves a patient with an anomalous fetal ultrasound and cffDNA positive for trisomy 13. Amniocentesis demonstrated a chromosome 8p duplication/deletion. False positive cffDNA may arise in clinical scenarios where diagnostic testing is clearly indicated. Practitioners should recognize the limitations of cffDNA.
Databáze: OpenAIRE