Deletion of the tail of chromosome 7?
Hello, doctor.
I am currently 21 weeks pregnant.
I have undergone two NIPT blood tests, which indicated a 20mb deletion at chromosome 7q34-36.3.
I am now waiting for the results of the aCGH microarray analysis.
I would like to ask: (1) What potential conditions could arise from the deletion at 7q34-36.3 in the fetus? (2) If the aCGH report is consistent with the blood test results, does that mean there is a high likelihood of fetal abnormalities? Is there a need to perform cord blood testing? Thank you for your response.
Joi, 30~39 year old female. Ask Date: 2016/06/17
Dr. Chen Ming reply Rare Disease
The peace of mind comes from the fact that this is a highly complex and difficult test.
We must wait for the results of the ACGH chip before we can explain everything in person.
God bless!
Reply Date: 2016/06/17
More Info
The deletion of chromosome 7q34-36.3, as indicated in your NIPT (Non-Invasive Prenatal Testing) results, raises important considerations regarding the potential implications for your pregnancy. This chromosomal region is known to harbor several genes that are crucial for normal development, and a deletion in this area could lead to various developmental issues or congenital anomalies in the fetus.
1. Potential Implications of 7q34-36.3 Deletion: The specific consequences of a deletion in this chromosomal region can vary widely depending on the size of the deletion and the specific genes involved. Some deletions in this area have been associated with developmental delays, intellectual disabilities, and other physical anomalies. However, the clinical significance of such deletions can be complex and is often determined by the presence of additional genetic factors, the overall genetic background of the fetus, and the specific genes that are affected by the deletion. It is essential to consult with a genetic counselor or a specialist in maternal-fetal medicine who can provide a more tailored interpretation based on the latest research and clinical guidelines.
2. Understanding aCGH Results: If the aCGH (array Comparative Genomic Hybridization) results confirm the findings from your NIPT, it does suggest a higher likelihood of fetal abnormalities associated with the deletion. However, it is crucial to understand that not all chromosomal abnormalities lead to significant health issues. The severity and type of potential anomalies can vary greatly. The aCGH test is more precise than NIPT and can provide additional information about the nature of the deletion, including whether it is a benign variant or associated with a specific syndrome.
Regarding the need for further testing, such as cord blood analysis, this decision should be made in consultation with your healthcare provider. Cord blood testing can provide valuable information about the fetus's genetic makeup and help determine if there are any additional chromosomal abnormalities. However, it is typically performed after birth unless there are significant concerns during pregnancy that warrant earlier intervention.
In summary, the deletion of chromosome 7q34-36.3 can have various implications for fetal development, and further testing such as aCGH can provide more clarity. It is essential to work closely with your healthcare team, including genetic counselors and maternal-fetal specialists, to understand the implications of these findings and to discuss the best course of action for your pregnancy. They can help you navigate the emotional and medical complexities of this situation, ensuring that you receive the support and information you need during this time.
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