Mechanism | Fetal karyotype | Origin of X chromosomes | Pregnancy outcome (phenotype) | Estimated frequency | |
---|---|---|---|---|---|
1 | Maternal contamination | 46,XY | All maternal | Normal male | 1–2/1000 |
2 | Twin pregnancy | 46,XX and 46,XY | Maternal and paternal | Normal female and normal male twins | Rare (2 cases reported) |
3 | Male cells of unknown origin (possible “vanishing twin”) | 46,XX1-150 | Maternal and paternal | Normal female | Rare (3 cases reported) |
4 | Cross contamination in laboratory | 46,XX or 46,XY | Non-parental | Normal male or normal female | Unknown |
5 | True fetal chimerism | 46,XX/46,XY | Maternal and paternal | True hermaphrodite/ normal male/ normal female | Rare (2 cases reported) |
6 | Parthenogenetic chimera | 46,XX/46,XY | All maternal | Phenotypic uncertain: possible physical/intellectual compromise | Never reported at prenatal diagnosis |
↵1-150 The presence of male cells in the fetus that were not detectable after delivery cannot be excluded.