Discordant NIPT result in a viable trisomy-21 pregnancy due to prolonged contribution to cfDNA by a demised trisomy-14 cotwin

Ron Hochstenbach, Martin G Elferink, Patrick H A van Zon, Klaske D Lichtenbelt, Jeske van Harssel, Heleen Schuring-Blom, Godelieve C M L Page-Christiaens

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Abstract

One of the confounders in noninvasive prenatal testing (NIPT) is the vanishing twin phenomenon. Prolonged contribution to the maternal Cell-free DNA (cfDNA) pool by cytotrophoblasts representing a demised, aneuploid cotwin may lead to a false-positive outcome for a normal, viable twin. We show that a vanishing trisomy-14 twin contributes to cfDNA for more than 2 weeks after demise.

Original languageEnglish
Pages (from-to)788-791
Number of pages4
JournalClinical case reports
Volume6
Issue number5
DOIs
Publication statusPublished - May 2018

Keywords

  • Cell-free DNA
  • false-positive result
  • noninvasive prenatal testing
  • vanishingtwin

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