Supernumerary minute ring chromosome 14 in a man with primary infertility and left varicocele

Objective To describe a case of supernumerary minute ring chromosome (SMRC) in an infertile man, with the concurrent finding of a left varicocele. Design Case report. Setting Urologic infertility clinic in a university hospital. Patient(s) Male patient presenting with primary infertility. Interventi...

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Published inFertility and sterility Vol. 87; no. 5; pp. 1213.e1 - 1213.e3
Main Authors Stahl, Brandon C., M.D, Patil, Shivanand R., Ph.D, Syrop, Craig H., M.D, Sparks, Amy E.T., Ph.D, Wald, Moshe, M.D
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.05.2007
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Abstract Objective To describe a case of supernumerary minute ring chromosome (SMRC) in an infertile man, with the concurrent finding of a left varicocele. Design Case report. Setting Urologic infertility clinic in a university hospital. Patient(s) Male patient presenting with primary infertility. Intervention(s) Karyotyping, genetic counseling, and microsurgical left varicocelectomy. Main Outcome Measure(s) Sperm concentration and motility, chromosomal number and structure. Result(s) Fluorescence in situ hybridization revealing SMRC 14. Sperm concentration and motility improved after left varicocele repair. Conclusion(s) A karyotype should be included in the evaluation of severe oligospermia. Although SMRC 14 may be associated with fertility problems, repair of a coexisting varicocele should be considered in these patients.
AbstractList OBJECTIVETo describe a case of supernumerary minute ring chromosome (SMRC) in an infertile man, with the concurrent finding of a left varicocele.DESIGNCase report.SETTINGUrologic infertility clinic in a university hospital.PATIENT(S)Male patient presenting with primary infertility.INTERVENTION(S)Karyotyping, genetic counseling, and microsurgical left varicocelectomy.MAIN OUTCOME MEASURE(S)Sperm concentration and motility, chromosomal number and structure.RESULT(S)Fluorescence in situ hybridization revealing SMRC 14. Sperm concentration and motility improved after left varicocele repair.CONCLUSION(S)A karyotype should be included in the evaluation of severe oligospermia. Although SMRC 14 may be associated with fertility problems, repair of a coexisting varicocele should be considered in these patients.
Objective To describe a case of supernumerary minute ring chromosome (SMRC) in an infertile man, with the concurrent finding of a left varicocele. Design Case report. Setting Urologic infertility clinic in a university hospital. Patient(s) Male patient presenting with primary infertility. Intervention(s) Karyotyping, genetic counseling, and microsurgical left varicocelectomy. Main Outcome Measure(s) Sperm concentration and motility, chromosomal number and structure. Result(s) Fluorescence in situ hybridization revealing SMRC 14. Sperm concentration and motility improved after left varicocele repair. Conclusion(s) A karyotype should be included in the evaluation of severe oligospermia. Although SMRC 14 may be associated with fertility problems, repair of a coexisting varicocele should be considered in these patients.
To describe a case of supernumerary minute ring chromosome (SMRC) in an infertile man, with the concurrent finding of a left varicocele. Case report. Urologic infertility clinic in a university hospital. Male patient presenting with primary infertility. Karyotyping, genetic counseling, and microsurgical left varicocelectomy. Sperm concentration and motility, chromosomal number and structure. Fluorescence in situ hybridization revealing SMRC 14. Sperm concentration and motility improved after left varicocele repair. A karyotype should be included in the evaluation of severe oligospermia. Although SMRC 14 may be associated with fertility problems, repair of a coexisting varicocele should be considered in these patients.
Author Patil, Shivanand R., Ph.D
Sparks, Amy E.T., Ph.D
Wald, Moshe, M.D
Syrop, Craig H., M.D
Stahl, Brandon C., M.D
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Cites_doi 10.1002/pd.1970120203
10.1159/000079572
10.1111/j.1399-0004.1993.tb03849.x
10.1002/ajmg.1320560124
10.1007/s00439-003-1016-3
10.1002/(SICI)1096-8628(19980203)75:4<355::AID-AJMG4>3.0.CO;2-P
10.1002/(SICI)1097-0223(199905)19:5<480::AID-PD547>3.0.CO;2-H
10.1093/humrep/11.suppl_4.1
10.1159/000086909
10.1002/(SICI)1096-8628(19980203)75:4<367::AID-AJMG5>3.0.CO;2-N
10.1530/rep.0.1210655
10.1002/ajmg.a.10100
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varicocele
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References Gentile, Susca, Resta, Stella, Cascone, Guanti (bib4) 1993; 44
Shi, Martin (bib13) 2001; 121
Van Assche, Bonduelle, Tournaye, Joris, Verheyen, Devroey (bib12) 1996; 11
Callen, Eyre, Ringenbergs, Freemantle, Woodroffe, Haan (bib10) 1991; 48
Crolla (bib3) 1998; 75
Gravholt, Friedrich (bib6) 1995; 56
Daniel, Malafiej (bib9) 2003; 117
Miharu (bib14) 2005; 111
Stetten, Blakemore, Courter, Coss, Jabs (bib5) 1992; 12
Ning, Laundon, Schrock, Buchanan, Ried (bib7) 1999; 19
Starke, Nietzel, Weise, Heller, Mrasek, Belitz (bib8) 2003; 114
Warburton (bib11) 1991; 49
Crolla, Long, Rivera, Dennis (bib1) 1998; 75
Liehr, Claussen, Starke (bib2) 2004; 107
Ning (10.1016/j.fertnstert.2006.09.008_bib7) 1999; 19
Crolla (10.1016/j.fertnstert.2006.09.008_bib3) 1998; 75
Liehr (10.1016/j.fertnstert.2006.09.008_bib2) 2004; 107
Gravholt (10.1016/j.fertnstert.2006.09.008_bib6) 1995; 56
Van Assche (10.1016/j.fertnstert.2006.09.008_bib12) 1996; 11
Daniel (10.1016/j.fertnstert.2006.09.008_bib9) 2003; 117
Starke (10.1016/j.fertnstert.2006.09.008_bib8) 2003; 114
Warburton (10.1016/j.fertnstert.2006.09.008_bib11) 1991; 49
Gentile (10.1016/j.fertnstert.2006.09.008_bib4) 1993; 44
Miharu (10.1016/j.fertnstert.2006.09.008_bib14) 2005; 111
Stetten (10.1016/j.fertnstert.2006.09.008_bib5) 1992; 12
Crolla (10.1016/j.fertnstert.2006.09.008_bib1) 1998; 75
Callen (10.1016/j.fertnstert.2006.09.008_bib10) 1991; 48
Shi (10.1016/j.fertnstert.2006.09.008_bib13) 2001; 121
References_xml – volume: 75
  start-page: 367
  year: 1998
  end-page: 381
  ident: bib3
  article-title: FISH and molecular studies of autosomal supernumerary marker chromosomes excluding those derived from chromosome 15: II
  publication-title: Am J Med Genet
  contributor:
    fullname: Crolla
– volume: 107
  start-page: 55
  year: 2004
  end-page: 57
  ident: bib2
  article-title: Small supernumerary marker chromosomes (sSMC) in human
  publication-title: Cytogenet Genome Res
  contributor:
    fullname: Starke
– volume: 44
  start-page: 71
  year: 1993
  end-page: 75
  ident: bib4
  article-title: Infertility in carriers of two bisatellited marker chromosomes
  publication-title: Clin Genet
  contributor:
    fullname: Guanti
– volume: 19
  start-page: 480
  year: 1999
  end-page: 482
  ident: bib7
  article-title: Prenatal diagnosis of a mosaic extra structurally abnormal chromosome by spectral karyotyping
  publication-title: Prenat Diagn
  contributor:
    fullname: Ried
– volume: 111
  start-page: 347
  year: 2005
  end-page: 351
  ident: bib14
  article-title: Chromosome abnormalities in sperm from infertile men with normal somatic karyotypes: oligozoospermia
  publication-title: Cytogenet Genome Res
  contributor:
    fullname: Miharu
– volume: 11
  start-page: 1
  year: 1996
  end-page: 24
  ident: bib12
  article-title: Cytogenetics of infertile men
  publication-title: Hum Reprod
  contributor:
    fullname: Devroey
– volume: 56
  start-page: 106
  year: 1995
  end-page: 111
  ident: bib6
  article-title: Molecular cytogenetics study of supernumerary marker chromosomes in an unselected group of children
  publication-title: Am J Med Genet
  contributor:
    fullname: Friedrich
– volume: 48
  start-page: 769
  year: 1991
  end-page: 782
  ident: bib10
  article-title: Chromosomal origin of small ring marker chromosomes in man: characterization by molecular genetics
  publication-title: Am J Hum Genet
  contributor:
    fullname: Haan
– volume: 49
  start-page: 995
  year: 1991
  end-page: 1013
  ident: bib11
  article-title: De novo balanced chromosome rearrangements and extra marker chromosomes identified at prenatal diagnosis: clinical significance and distribution of breakpoints
  publication-title: Am J Hum Genet
  contributor:
    fullname: Warburton
– volume: 75
  start-page: 355
  year: 1998
  end-page: 366
  ident: bib1
  article-title: FISH and molecular study of autosomal supernumerary marker chromosomes excluding those derived from chromosomes 15 and 22: I
  publication-title: Am J Med Genet
  contributor:
    fullname: Dennis
– volume: 12
  start-page: 83
  year: 1992
  end-page: 91
  ident: bib5
  article-title: Prenatal identification of small mosaic markers of different chromosomal origins
  publication-title: Prenat Diagn
  contributor:
    fullname: Jabs
– volume: 114
  start-page: 51
  year: 2003
  end-page: 67
  ident: bib8
  article-title: Small supernumerary marker chromosomes (SMCs): genotype-phenotype correlation and classification
  publication-title: Hum Genet
  contributor:
    fullname: Belitz
– volume: 117
  start-page: 212
  year: 2003
  end-page: 222
  ident: bib9
  article-title: A series of supernumerary small ring marker autosomes identified by FISH with chromosome probe arrays and literature review excluding chromosome 15
  publication-title: Am J Med Genet A
  contributor:
    fullname: Malafiej
– volume: 121
  start-page: 655
  year: 2001
  end-page: 656
  ident: bib13
  article-title: Aneuploidy in human spermatozoa: FISH analysis in men with constitutional chromosomal abnormalities, and in infertile men
  publication-title: Reproduction
  contributor:
    fullname: Martin
– volume: 12
  start-page: 83
  year: 1992
  ident: 10.1016/j.fertnstert.2006.09.008_bib5
  article-title: Prenatal identification of small mosaic markers of different chromosomal origins
  publication-title: Prenat Diagn
  doi: 10.1002/pd.1970120203
  contributor:
    fullname: Stetten
– volume: 107
  start-page: 55
  year: 2004
  ident: 10.1016/j.fertnstert.2006.09.008_bib2
  article-title: Small supernumerary marker chromosomes (sSMC) in human
  publication-title: Cytogenet Genome Res
  doi: 10.1159/000079572
  contributor:
    fullname: Liehr
– volume: 44
  start-page: 71
  year: 1993
  ident: 10.1016/j.fertnstert.2006.09.008_bib4
  article-title: Infertility in carriers of two bisatellited marker chromosomes
  publication-title: Clin Genet
  doi: 10.1111/j.1399-0004.1993.tb03849.x
  contributor:
    fullname: Gentile
– volume: 48
  start-page: 769
  year: 1991
  ident: 10.1016/j.fertnstert.2006.09.008_bib10
  article-title: Chromosomal origin of small ring marker chromosomes in man: characterization by molecular genetics
  publication-title: Am J Hum Genet
  contributor:
    fullname: Callen
– volume: 56
  start-page: 106
  year: 1995
  ident: 10.1016/j.fertnstert.2006.09.008_bib6
  article-title: Molecular cytogenetics study of supernumerary marker chromosomes in an unselected group of children
  publication-title: Am J Med Genet
  doi: 10.1002/ajmg.1320560124
  contributor:
    fullname: Gravholt
– volume: 114
  start-page: 51
  year: 2003
  ident: 10.1016/j.fertnstert.2006.09.008_bib8
  article-title: Small supernumerary marker chromosomes (SMCs): genotype-phenotype correlation and classification
  publication-title: Hum Genet
  doi: 10.1007/s00439-003-1016-3
  contributor:
    fullname: Starke
– volume: 49
  start-page: 995
  year: 1991
  ident: 10.1016/j.fertnstert.2006.09.008_bib11
  article-title: De novo balanced chromosome rearrangements and extra marker chromosomes identified at prenatal diagnosis: clinical significance and distribution of breakpoints
  publication-title: Am J Hum Genet
  contributor:
    fullname: Warburton
– volume: 75
  start-page: 355
  year: 1998
  ident: 10.1016/j.fertnstert.2006.09.008_bib1
  article-title: FISH and molecular study of autosomal supernumerary marker chromosomes excluding those derived from chromosomes 15 and 22: I
  publication-title: Am J Med Genet
  doi: 10.1002/(SICI)1096-8628(19980203)75:4<355::AID-AJMG4>3.0.CO;2-P
  contributor:
    fullname: Crolla
– volume: 19
  start-page: 480
  year: 1999
  ident: 10.1016/j.fertnstert.2006.09.008_bib7
  article-title: Prenatal diagnosis of a mosaic extra structurally abnormal chromosome by spectral karyotyping
  publication-title: Prenat Diagn
  doi: 10.1002/(SICI)1097-0223(199905)19:5<480::AID-PD547>3.0.CO;2-H
  contributor:
    fullname: Ning
– volume: 11
  start-page: 1
  issue: Suppl 4
  year: 1996
  ident: 10.1016/j.fertnstert.2006.09.008_bib12
  article-title: Cytogenetics of infertile men
  publication-title: Hum Reprod
  doi: 10.1093/humrep/11.suppl_4.1
  contributor:
    fullname: Van Assche
– volume: 111
  start-page: 347
  year: 2005
  ident: 10.1016/j.fertnstert.2006.09.008_bib14
  article-title: Chromosome abnormalities in sperm from infertile men with normal somatic karyotypes: oligozoospermia
  publication-title: Cytogenet Genome Res
  doi: 10.1159/000086909
  contributor:
    fullname: Miharu
– volume: 75
  start-page: 367
  year: 1998
  ident: 10.1016/j.fertnstert.2006.09.008_bib3
  article-title: FISH and molecular studies of autosomal supernumerary marker chromosomes excluding those derived from chromosome 15: II
  publication-title: Am J Med Genet
  doi: 10.1002/(SICI)1096-8628(19980203)75:4<367::AID-AJMG5>3.0.CO;2-N
  contributor:
    fullname: Crolla
– volume: 121
  start-page: 655
  year: 2001
  ident: 10.1016/j.fertnstert.2006.09.008_bib13
  article-title: Aneuploidy in human spermatozoa: FISH analysis in men with constitutional chromosomal abnormalities, and in infertile men
  publication-title: Reproduction
  doi: 10.1530/rep.0.1210655
  contributor:
    fullname: Shi
– volume: 117
  start-page: 212
  year: 2003
  ident: 10.1016/j.fertnstert.2006.09.008_bib9
  article-title: A series of supernumerary small ring marker autosomes identified by FISH with chromosome probe arrays and literature review excluding chromosome 15
  publication-title: Am J Med Genet A
  doi: 10.1002/ajmg.a.10100
  contributor:
    fullname: Daniel
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Snippet Objective To describe a case of supernumerary minute ring chromosome (SMRC) in an infertile man, with the concurrent finding of a left varicocele. Design Case...
To describe a case of supernumerary minute ring chromosome (SMRC) in an infertile man, with the concurrent finding of a left varicocele. Case report. Urologic...
OBJECTIVETo describe a case of supernumerary minute ring chromosome (SMRC) in an infertile man, with the concurrent finding of a left varicocele.DESIGNCase...
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SubjectTerms Adult
Chromosomes, Human, Pair 14
Humans
Infertility
Infertility, Male - diagnosis
Infertility, Male - genetics
Infertility, Male - surgery
Internal Medicine
karyotyping
Male
Obstetrics and Gynecology
oligospermia
Ring Chromosomes
sex chromosome disorders
varicocele
Varicocele - diagnosis
Varicocele - genetics
Varicocele - surgery
Title Supernumerary minute ring chromosome 14 in a man with primary infertility and left varicocele
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