Chromosome abnormalities occur in about one in a hundred people, and present complex challenges for medical geneticists and genetic counselors. In addition to identifying chromosomal abnormalities, genetics professionals must explain the unexplainable, helping families understand why chromosome disorders occur and how likely they are to occur again. Chromosome Abnormalities and Genetic Counseling is the definitive guide to navigating chromosome disorders and clinical questions posed by the families they impact. It incorporates the latest advances in molecular technologies and prenatal diagnosis, while also revisiting the classical understanding of chromosomal pathology; the well-known trisomies, deletions, and duplication syndromes; and ways in which these may arise de novo or occur in the setting of a parental chromosomerearrangement. This new edition includes three entirely new chapters on copy number variants, chromosome abnormalities associated with selected phenotypes, and ethical and counseling issues.Completely updated and still infused with the warmth and voice that have made it essential reading for professionals across medical genetics, the 6th edition of Chromosome Abnormalities and Genetic Counseling represents a leap forward in clinical understanding and communication. It is more than just a reference text; it is a holistic guide to thinking about these disorders, even as our technical understanding of them continues to evolve.
PART ONE: BASIC CONCEPTS; 1. Elements of Medical Cytogenetics; 2. Chromosome Analysis; 3. The Origins and Consequences of Chromosome Pathology; 4. Deriving and Using a Risk Figure; PART TWO: PARENT OR CHILD WITH A CHROMOSOMAL ABNORMALITY; 5. Autosomal Reciprocal Translocations; 6. Sex Chromosome Translocations; 7. Robertsonian Translocations; 8. Insertions; 9. Inversions; 10. Complex Chromosomal Rearrangements; 11. Autosomal Ring Chromosomes; 12. Centromere Fissions, Complementary Isochromosomes, Telomeric Fusions, Balancing Supernumerary Chromosomes, Neocentromeres, Jumping Translocations, and Chromothripsis; 13. Down Syndrome, Other Full Aneuploidies, Polyploidy, and the Influence of Parental Age; 14. Autosomal Structural Rearrangements: Deletions and Duplications; 15. Sex Chromosome Aneuploidy and Structural Rearrangement; 16. Chromosome Instability Syndromes; PART THREE: CHROMOSOME VARIANTS; 17. Normal Chromosomal Variation; 18. Copy Number Variants; PART FOUR: DISORDERS ASSOCIATED WITH ABERRANT GENOMIC IMPRINTING; 19. Uniparental Disomy and Disorders of Imprinting; PART FIVE: REPRODUCTIVE CYTOGENETICS; 20. Reproductive Failure; 21. Prenatal Testing Procedures; 22. Chromosome Abnormalities Detected at Prenatal Diagnosis; 23. Preimplantation Genetic Diagnosis; PART SIX: DISORDERS OF SEX DEVELOPMENT; 24. Chromosomal Disorders of Sex Development; PART SEVEN: PHENOTYPES; 25. Chromosomal Phenotypes; PART EIGHT: NOXIOUS AGENTS; 26. Gonadal Cytogenetic Damage from Exposure to Extrinsic Agents; PART NINE: ETHICS; 27. Ethical Issues; APPENDIXES; A. Ideograms of Human Chromosomes; B. Cytogenetic Nomenclature; C. Penetrance Data for Certain Copy Number Variants;
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