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Journal of Medical Genetics logoLink to Journal of Medical Genetics
. 1992 Aug;29(8):542–546. doi: 10.1136/jmg.29.8.542

Minute Y chromosome derived marker in a child with gonadoblastoma: cytogenetic and DNA studies.

V Petrovic 1, S Nasioulas 1, C W Chow 1, L Voullaire 1, M Schmidt 1, H Dahl 1
PMCID: PMC1016058  PMID: 1518023

Abstract

A 12 year old girl referred for chromosome analysis because of short stature was found to have karyotype mos 45,X/46,X,+mar. The marker chromosome was observed in 58% of her blood lymphocytes. It was a small, pale staining, spherical fragment with GTL banding and showed faint differentiation along its length with CBG banding. DNA analysis using Y specific probes showed the absence of the testicular determining region and the presence of some short arm and centromeric Y chromosomal material. In situ hybridisation confirmed that the Y chromosomal material was associated with the marker chromosome. At laparotomy the patient was found to have streak gonads. Gonadectomy was subsequently performed and histological examination showed dysgenetic gonads with a dysgerminoma arising from a gonadoblastoma in the left gonad. This case shows that even very small Y derived marker chromosomes with pericentric material can predispose the phenotypic female to gonadal neoplasia.

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Selected References

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