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3 Symbols, Abbreviated Terms, and General Principles
upd | Uniparental disomy (8.4, 14.2.1) |
upd | Uniparental disomy (See hmz 14.2.6) |
9 Structural Chromosome Rearrangements
9.2.3 Derivative Chromosomes
47,XX,t(9;22;6)(q34;q11.2;p21),+der(22)t(9;22;6) A three-way translocation between chromosomes 9, 22, and 6 is present along with an additional derivative chromosome 22 from this three-way translocation.
47,XX,t(6;9;22)(p21;q34;q11.2),+der(22)t(6;9;22)
View Chapter Online46,XY,der(9)t(9;22)(q34;q11),+22,der(22;22)(22pter→22q11::9q34→9qter::9qter→9q34::22q11→22pter) An isochromosome for the derivative chromosome 22 generated by a t(9;22), i.e., an isochromosome for the long arm of a Ph chromosome. There are also two normal copies of chromosome 22 and the derivative chromosome 9 generated by a t(9;22).
47,XY,der(9)t(9;22)(q34;q11.2),+22,der(22;22)(22pter→22q11.2::9q34→9qter::9qter→9q34::22q11.2→22pter) An isodicentric chromosome generated from a der(22)t(9;22).
View Chapter Online9.2.5 Duplications
46,XX,dup(1)(p31p34)
46,XX,dup(1)(pter→p31::p31→p34::p31→qter) or dup(1)(pter→p34::p31→p34::p31→pter)
Duplication of the segment between bands 1p34 and 1p31, in reversed orientation relative to pter and qter. Note that only the detailed form will clarify the location of the duplicated segment.
46,XX,dup(1)(pter→p31::p31→p34::p31→qter) or dup(1)(pter→p34::p31→p34::p34→qter)
View Chapter Online9.2.8 Homogeneously Staining Regions
46,XX,der(1)ins(1;7)(q21;p21p11.2)hsr(1;7)(q21;p11.2)
46,XX,der(1)(1pter→1q21::hsr::7p11.2→7p21::1q21→1qter)
Insertion of the segment 7p21p11.2 into the long arm of chromosome 1 with breakage and reunion at band 1q21. The derivative chromosome also contains an hsr at the interface between the recipient and donor chromosomes. The hsr is located proximal to the segment inserted from chromosome 7.
46,XX,der(1)ins(1;7)(q21;p21p11.2)hsr(1;7)(q21;p11.2)
46,XX,der(1)(1pter→1q21::hsr::7p21→7p11.2::1q21→1qter)
46,XX,der(1)ins(1;7)(q21;p21p11.2)hsr(1;7)(q21;p21)
46,XX,der(1)(1pter→1q21::7p11.2→7p21::hsr::1q21→1qter)
Insertion of the segment 7p21p11.2 into the long arm of chromosome 1 with breakage and reunion at band 1q21. The derivative chromosome also contains an hsr at the interface between the recipient and donor chromosomes. The hsr is located distal to the segment inserted from chromosome 7.
46,XX,der(1)ins(1;7)(q21;p21p11.2)hsr(1;7)(q21;p21)
46,XX,der(1)(1pter→1q21::7p21→7p11.2::hsr::1q21→1qter)
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9.2.9 Insertions
The symbol ins is used for insertions. The orientation of the inserted segment is indicated by the order of the bands of the inserted segment with respect to the centromere. For clarity, the use of the detailed form is recommended.
The orientation of the inserted segment is indicated by the order of the bands of the inserted segment from pter to qter.
View Chapter Online9.2.17.1 Reciprocal Translocations
46,XX,t(5;14;9)(q13q23;q24q21;p12p23)
46,XX,t(5;14;9)(5pter→5q13::9p12→9p23::5q23→5qter;14pter→14q21::5q13→5q23::14q24→14qter;9pter→9p23::14q21→14q24::9p12→9qter)
Reciprocal six-break translocation of three interstitial segments. The segment between bands 5q13 and 5q23 on chromosome 5 has replaced the segment between bands 14q21 and 14q24 on chromosome 14, the segment 14q21q24 has replaced the segment between bands 9p23 and 9p12 on chromosome 9, and the segment 9p23p12 has replaced the segment 5q13q23. The orientations of the segments in relation to the centromere are apparent from the order of the bands. The segments 9p23p12 and 14q21q24 are inverted.
46,XX,t(5;14;9)(q13q23;q24q21;p12p23)
46,XX,t(5;14;9)(5pter→5q13::9p12→9p23::5q23→5qter;14pter→14q21::5q13→5q23::14q24→14qter;9pter→9p23::14q24→14q21::9p12→9qter)
11 Neoplasia
11.1.4 Stemline, Sideline and Clonal Evolution
47,XX,inv(6)(p21q25),+12[17]/50,sl,–inv(6),+7,+8,+9,+mar[11]
47,XX,inv(6)(p21q25),+12[17]/50,idem,–inv(6),+7,+8,+9,+mar[11]
The inv(6) present in the stemline has not been found in the sideline with 50 chromosomes. The breakpoints in the inv(6) need not be repeated. Note that there is monosomy 6 in the sideline. If the sideline was disomic for chromosome 6 then it would be written:
50,sl,+6,–inv(6),+7,+8,+9,+mar[11] or 50,idem,+6,–inv(6),+7,+8,+9,+mar[11]
51,sl,+6,–inv(6),+7,+8,+9,+mar[11] or 51,idem,+6,–inv(6),+7,+8,+9,+mar[11]
View Chapter Online13 In situ Hybridization
13.2.3 Abnormal Signal Patterns with Multiple Probes
46,X,?i(Y)(p10).ish idic(Y)(q11)(DYZ3+,DYZ1–,DYZ3+) A presumed isochromosome for the short arm of Y was shown by ish to have two centromeres and no heterochromatin.
46,X,?i(Y)(p10).ish idic(Y)(q11.1)(DYZ3+,DYZ1–,DYZ3+) A presumed isochromosome for the short arm of Y was shown by ish to have two centromeres and no heterochromatin.
View Chapter Online13.3.3 Abnormal Interphase Signal Pattern
nuc ish(DXZ1,DYZ3)×1[34/50]/(DXZ1×1,DYZ3×0)[12/50]/(DXZ1×1,DYZ3×2)[6/50] One copy of X and one copy of Y in 34 of 50 nuclei, in addition to 12 nuclei with a single X and six nuclei with one X and two Y chromosomes. For determining the sex chromosome complement of an individual, an exception is made to include the normal complement of two sex chromosomes.
nuc ish(DXZ1,DYZ3)×1[32/50]/(DXZ1×1,DYZ3×0)[12/50]/(DXZ1×1,DYZ3×2)[6/50] One copy of X and one copy of Y in 32 of 50 nuclei, in addition to 12 nuclei with a single X and six nuclei with one X and two Y chromosomes.
View Chapter Online14 Microarrays
14.1 Introduction
Microarray-based chromosome analysis is principally an adjunct to traditional chromosome analysis and FISH; for prenatal and postnatal analysis, it has become the laboratory method of choice for definitive identification of chromosome abnormalities. It is increasingly used in cancer studies either as a stand alone test or in combination with FISH. Microarray nomenclature includes the genomic coordinates for banded chromosomes which are defined in the translation tables provided by NCBI (hg19/GRCh38, http://hgdownload.cse.ucsc.edu/goldenPath/hg19/database/cytoBand.txt.gz and hg38/GRCh38, http://hgdownload.cse.ucsc.edu/goldenPath/hg38/database/cytoBand.txt.gz). Platforms differ and evolve; coordinates provided reflect this and are provided only for guidance.
hg19/GRCh37, http://hgdownload.cse.ucsc.edu/goldenPath/hg19/database/cytoBand.txt.gz
View Chapter Online14.2.4 Multiple Techniques
46,X,der(Y)t(X;Y)(p22.33;q12).arr[GRCh37] Xp22.33(701_2,679,502)×3,Xp22.33p22.2(2,709,521_15,955,588)×2,Yq11.221q11.23(16,139,805_27,177,529)×0 Karyotype and microarray analyses show a single copy gain of the X chromosome from two regions of Xp and loss of the long arm of the Y chromosome, resulting from an unbalanced translocation between the short arm of the X chromosome and the long arm of the Y distal to Yq11.221. The two regions of Xp are shown separately because the gain of the pseudoautosomal region results in three total copies and the gain proximal to the pseudoautosomal region results in two total copies.
The array defines the Yq breakpoint as q11.221. As the karyotype is given, and the abnormal chromosome is known to be a der(Y), it should be written as:
46,X,der(Y)t(X;Y)(p22.33;q11.221).arr[GRCh37] Xp22.33p22.2 (701_15,955,588)×2,Yq11.221q11.23(16,139,805_27,177,529)×0
View Chapter Online14.2.5 Mixed Cell Populations and Uncertain Copy Number
ish mos del(2)(q11.2q13)(RP11-478D22–)[10]/2q12.1(RP11-478D22+)[25].
arr[GRCh38] 2q11.2q13(100982729_112106760)×1[0.4]
FISH and microarray analyses show a mosaic deletion in the long arm of chromosome 2. By microarray approximately 40% of cells have the deletion.
ish mos del(2)(q11.2q13)(RP11-478D22–)[10]/2q12.1(RP11-478D22x2)[25].
arr[GRCh38] 2q11.2q13(100982729_112106760)×1[0.4]
47,XY,+mar.ish der(2)(p11.2q13)(RP11-478D22+)[5]/2q12.1(RP11-478D22+)[25].arr[GRCh38] 2p11.2q13(90982729_112106760)×3[0.15] Microarray and FISH analyses demonstrate a mosaic marker chromosome derived from chromosome 2. By microarray approximately 15% of cells have 3 copies of the defined region.
47,XY,+mar.ish der(2)(p11.2q13)(RP11-478D22+)[5]/2q12.1(RP11-478D22x2)[25].arr[GRCh38] 2p11.2q13(90982729_112106760)×3[0.15]
14.2.8 Polar Bodies
arr cht(13,14)×2,(18)×0,(21)×2 Polar body 2 has gain of one chromatid each for 13, 14 and 21, and has lost the chromatid 18 using microarray.
arr cht(13,14)×2,cht(18)×0,cht(21)×2
View Chapter Online15 Region-Specific Assays
15.2 Examples of RSA Nomenclature for Normal and Aneuploidy
rsa(X)×2,(13,18)×2,(21)×2∼3 Abnormal copy number result for chromosome 21 showing two to three copies for the whole chromosome 21 (mosaic trisomy) in a female using a region-specific assay. For clarity, the normal disomic states for chromosomes 13, 18, and X may be included in the nomenclature when tested.
rsa(X,13,18)×2,(21)×2∼3
View Chapter Online