Turner syndrome: evaluation of prenatal diagnosis in 19 European registries
Abstract
This study evaluated the prenatal diagnosis of Turner syndrome by ultrasound examination in an unselected population from all over Europe. Data from 19 congenital malformation registries from 11 European countries were analyzed. Turner syndrome was diagnosed in 125 cases (7.2%) in a total of 1,738 chromosome abnormalities. Sixty-seven percent of cases were detected prenatally by ultrasound examination due to the presence of congenital defects. The most frequent anomalies were cystic hygroma (59.5%) and hydrops fetalis (19%). The most frequent karyotype was 45,X (81.6%) followed by different types of mosaicism (16.8%). Significant differences in congenital defects (P = 0.0003) were observed between 45,X karyotypes and 45,X mosaicism cases. Prenatal counseling for 45,X mosaicism should take into account the expectation of a milder phenotype. In 78.6% of cases diagnosed by ultrasound examination due to congenital anomalies, the pregnancy was terminated. Prenatal detection of Turner syndrome by ultrasound examination was high in this unselected population.
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Depending on fetal TS karyotype, cardiac anomalies are described in 7.8%-72% of prenatal series.
“Depending on fetal TS karyotype, cardiac anomalies are described in 7.8%-72% of prenatal series.50-53”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [53]
Other ultrasound findings suggestive of TS include left-sided cardiac anomalies, partial anomalous pulmonary venous return/connection and persistent left superior vena cava, renal anomalies, small omphalocele, short femur and fetal growth restriction.
“Other ultrasound findings suggestive of TS include left-sided cardiac anomalies, partial anomalous pulmonary venous return/connection and persistent left superior vena cava, renal anomalies, small omphalocele, short femur and fetal growth restriction.45,50-54”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [53]
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- Authors
- Baena, N., De Vigan, C., Cariati, E., Clementi, M., Stoll, C., Caballín, M. R., Guitart, M., & The Euroscan working group
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- Hôpital d'Hautepierre (FR)
- Corresponding author
- Baena, Neus
- Venue
- American Journal of Medical Genetics Part A
- Publisher
- Wiley
- Published
- 2004-07-15
- Volume
- 129A
- Issue
- 1
- Pages
- 16-20
- ISSN
- 1552-4825 (ISSN-L)
- 1552-4833
- OpenAlex
- W2071216215
- Cited by
- 160
- References
- 35
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 4 · 2019: 2 · 2018: 37 · 2017: 3 · 2015: 5 · 2014: 5 · 2013: 3 · 2012: 3
- FWCI
- 5.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Medical Genetics Part A (publishedVersion)
- PubMed (publishedVersion)
- IRIS (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- Funders
- European Union BIOMED2 Concerted Action (CEE BMH4 CT 96-0539)
- Fondo de Investigaciones Sanitarias (98/1525)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sexual Differentiation and Disorders
- Keywords
- Turner syndrome, prenatal diagnosis, prenatal ultrasound, 45,X karyotype, cystic lymphangioma, hydrops fetalis, congenital malformations, prenatal termination, prenatal counseling
- MeSH terms
- Congenital Abnormalities, Adolescent, Adult, Europe, Female, Gestational Age, Humans, Karyotyping, Maternal Age, Pregnancy, Registries, Sensitivity and Specificity, Turner Syndrome, Ultrasonography, Prenatal
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