Incidental finding of maternal malignancy in an unusual non-invasive prenatal test and a review of similar cases

Clin Case Rep. 2022 Oct 11;10(10):e6280. doi: 10.1002/ccr3.6280. eCollection 2022 Oct.

Abstract

We present a clinical case where a complex abnormal non-invasive prenatal test (NIPT) result in a research project revealed carcinoma of the breast in the pregnant woman. Furthermore, the NIPT result did not demonstrate the same fetal chromosomal aberration as the chorion villus sample. A literature search for similar cases was performed identifying 43 unique cases, where abnormal NIPT results were related to maternal malignancy. Malignancy is a rare but important cause of complex abnormal non-invasive prenatal test (NIPT) results and should be considered when fetal karyotype and abnormal NIPT results are discordant. Furthermore, a follow-up invasive sample is essential for correct fetal diagnosis when abnormal NIPT results are found.

Keywords: NIPT; cell‐free DNA; fetal diagnostics; genetics; malignancy; prenatal diagnostics.

Publication types

  • Case Reports