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There is evidence, however, supporting the view that prenatal diagnosis of Turner's syndrome has led to an increase in the number of fetuses Tiffany Watches electively.13-16

Even if a diagnosis was established prenatally, it needs to be confirmed by postnatal karyotyping. Probing for Y chromosome Paloma Picasso Jolies Beads bangle should be done in patients with Turner's syndrome with evidence of virilisation, or when a marker chromosome (a sex chromosomal fragment of unknown origin-ie, X versus Y) is reported.17 This can be Tiffany Notes cuff by DNA hybridisation, using a Y centromeric or short-arm probe, and can require probing of multiple tissues.

Probing for the SRY gene may fulfil this function, but it is important to recognise that while SRY is associated with male Tiffany Notes bangle differentiation, it does not appear to be the gene responsible for gonadoblastoma. Routine screening of all patients with Turner's syndrome for SRY is not warranted.

The presence of Y chromosome material can cause development of gonadoblastoma-the risk of which has been estimated as more than 30%,18,19 although other studies suggest a risk of only 7-10%.20 Even so, gonadectomy remains the Return to Tiffany Oval tag bracelet of choice to exclude malignancy with absolute certainty. In cases where patients or parents decide against gonadectomy, detailed vaginal sonography, supplemented with colour doppler sonography of the gonads at regular intervals, could be sufficient to monitor some patients with Y chromosome material.