An i(Yp) is a rare marker chromosome. We present a case of de novo 46,
X,i(Yp) detected prenatally in an amniotic fluid specimen. Fluorescenc
e in situ hybridization (FISH) studies using a panel of Y-specific bio
tinylated DNA probes identified the marker chromosome as i(Yp). Compar
ative genomic hybridization (CGH) studies further confirmed the diagno
sis. Upon pregnancy termination, external examination of the fetus rev
ealed a generally well-developed male fetus with slight facial dysmorp
hism and prominent rocker-bottom feet. The molecular cytogenetic data
in this case proved very useful in genetic counselling and served as a
good example illustrating the important role of molecular techniques
for accurate identification of marker chromosomes.