“…Reports of tetrasomy 9p in the literature can be grouped into three types based on the nature of the isochromosome. There have been 12 cases [Rutten et al, 1974;Orye et al, 1975;Moedjono et al, 1980;Cuoco et al, 1982;Garcia-Cruz et al, 1982;McDowall et al, 1989;Schaefer et al, 1991;Van Hove et al, 1994;Leichtman et al, 1996;Dutley et al (2 cases), 1998;Eggermann et al, 1998] reported in which the isochromosome has breakpoint at p10, with no portion of the long arm of chromosome 9 present. In nine cases [Balestrazzi et al, 1983;Cavalcanti et al, 1987;Papenhausen et al, 1990;Melaragno et al, 1992;Grass et al, 1993;Park et al, 1995;Tonk, 1997;Dutley et al, 1998;Stumm et al, 1999], the isochromosome included a small amount of the heterochromatic region of 9q, extending to 9q12 or 9q13.…”