Figure 1
![Patient’s karyotype [46,XY,inv(20)(q13.1q13.3)] detected by a conventional cytogenetic G-banding technique.](https://sciendo-parsed.s3.eu-central-1.amazonaws.com/647107e72b88470fbea144d8/j_bjmg-2018-0016_fig_001.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA6AP2G7AKNBZHZE42%2F20260311%2Feu-central-1%2Fs3%2Faws4_request&X-Amz-Date=20260311T085011Z&X-Amz-Expires=3600&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEI7%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaDGV1LWNlbnRyYWwtMSJIMEYCIQD5VC5vyLZnSXMXHuIJKADbv0z5KlnXOZ07BSc8h3k30wIhAIrd%2BeXDgGG%2FuTIJpmT8uISTvpUyBcGYdJ6iJgdapwIvKrwFCFcQAhoMOTYzMTM0Mjg5OTQwIgywRWZdlfOuVh9ieZ8qmQVxHsyYMlL3EAEcJokLerG9C4nlPAEDgsx8kn4RRmEDPvl0mcHuQpbYw2ORQmn6ZMsGgodwP7KGSnGf1Pkqphe1aea48fXRAlGefYDLQHV%2BSa2LBJaYUVDLQ0kBKK%2FD8xyUhVayrvYjbUgdMTOgM75%2Bb6Ur0Yt%2FU0%2BAeazFIMdvsaT01iKkOmULjXcJcqeaUecLJ4IcQ07JEL0U364IfVYfd7E3M5GODUzGpq%2FwyRdfi1%2FHYmElQYN131rrHPRXv8rZIN6DSz0wHrDCBHDRBmvlYMscFu3krXSk7pS1grFQZ99pvmOe0WCtylNCX6KtHm8Kc7ElBTOxBKxA%2FwvH0AHO1dcInq7al4WeeqGHv9b%2FTRWMzgKX2ShYQKLbdVThQQPXujo%2BNOtANkFqllyEEuiRvQKFoqxTXSf%2F8%2FeFvWerHCFwlcH%2BOLBK7KellLv4Iyhe9aPjW7%2Bv6JdAtirEoOkei5OW0ghyxwRNkbVh8AsH0%2BCO%2Baznx6Sv%2Ff%2F4AUaAEgFmQMjMVuaiuA7BsdU4nYNmQsr5vATW0im0JCoPhlsexgynRxqVt83CVIUJsHiZFJsWAoKWlGas1VhcMoeQVXjzmSVp0Uxm2AQbuXDORU7wzS%2F6RxZaebiqKjRO2v4kU%2BmTRjCegnulAKpkcn%2BdHXrWBHc2HA3593yXttDfEIGq8f55ialc9sw%2FCQ9PE117Sge5Fcu%2FFBvqIsRm7tXTS%2BgU3R7EahyWZOPGinhfGNMnjS%2FHCxrHnEnJHzNjYKVep50tJLkkSm6%2BMTIC%2B%2Fi%2F6pCSiKjz8tffJNK4NAuRSD7RqUs9ht2Dvj0Lkb%2BImeqTFn40XQlcQABnQHF0U652KqTlceJHOwT3uHkSYKNg%2FITWIhM%2Fkyx9jzb1WTDGjMTNBjqwAZdOTF0ZJ1WuiejZthRljeQDSSVuasbLPll%2Fewd%2FwRFCFwlXfpNirZmho3BVQy9i7T1U9d6W8dPMl5axivjeN2NH%2BfbOfIaUxVB6yRPhkpF9yQMwdqCCbuAnuH7rlyDEj6mOqOYaBS0a9gEyCQWy%2F8LMcbYhxxRbEeD3e8%2BDXhPFV2YGG1jIClwkCxEQiH3lll%2F1L4yOGS91JsDBiRj00eFAXMkOejq8HIBtvI8JcFWZ&X-Amz-Signature=9f66de5d292cad17cd34e59eb28265093d0048e8abb0611dca131eda4b16c4b1&X-Amz-SignedHeaders=host&x-amz-checksum-mode=ENABLED&x-id=GetObject)
Figure 2

Relevant array comparative genomic hybridization findings, genes content and characterization_
| Chromosomal Region/Size | Start (hg19) | End (hg19) | Genes | Characterization |
|---|---|---|---|---|
| del 11q14.3-q21 (4.5 Mb) | 89545468 | 94077250 | TRIM53AP, TRIM64B, TRIM49D2, TRIM49D1, TRIM64, TRIM49C, UBTFL1, NAALAD2, CHORDC1, DISC1FP1, MIR4490, MIR1261, FAT 3, LOC105369431, MTNR1B, SLC36A4, CCDC67, SMCO4, CEP295, SCARNA9, SNORA25, SNORA32, SNORD6, SNORA1, SNORA8, SNORD5, SNORA18, MIR1304, SNORA40, TAF1D, C11orf54, MED17, VSTM5, HEPHL1, PANX1, IZUMO1R | uncertain clinical significance |
| del 20q12 (1.97 Mb) | 38157428 | 40128669 | LINC01370, MAFB, LOC100128988, TOP1, PLCG1-AS1, PLCG1, MIR6871, ZHX3, LPIN3, EMILIN3, CHD6 | uncertain clinical significance |
| del 20q13.12 (100 kb) | 43916414 | 44016199 | MATN4, RBPJL, SDC4, SYS1, SYS1-DBNDD2, TP53TG5 | copy polymorphism number |