We present two prenatal cases of trisomy 9 mosaicism, both of which pr
esented intrauterine growth retardation (IUGR) and other abnormal ultr
asound findings. In case A, mosaicism was found in amniotic fluid cell
cultures, of which 65 per cent were trisomic cells, on average. In ca
se B, trisomic cells were present in amniotic fluid cell cultures (12
per cent) but none were found in fetal cord blood. After autopsy, cyto
genetic findings were confirmed in different tissue cultures. It is co
ncluded that echographic indicators are a very useful tool for a corre
ct prenatal diagnostic interpretation of trisomy 9. Suspected trisomy
9 mosaicism always requires further investigation and fetal cord blood
cytogenetic analysis may not be considered as providing an accurate d
iagnosis of fetal trisomy 9.