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British Columbia Cancer Research Centre, Vancouver, British Columbia, V5Z 4E6 Canada [M. P. R., J. B. E., J. H., T. Z.]; Vancouver General Hospital, Vancouver, British Columbia, V5Z 1M9 Canada [J. B. E., K. B., S. D.]; School of Kinesiology, Simon Fraser University, Burnaby, British Columbia, V5A 1S6 Canada [M. P. R., X. C., T. Z., Y. H.]; and Faculty of Dentistry, the University of British Columbia, Vancouver, British Columbia, V6T 1Z3 Canada [L. Z.]
Although it is widely accepted that clonal genetic alterations are an essential component of tumor progression, little is known of the distribution of such changes in high-risk lesions or how such clones are altered over time. We explored the feasibility of using exfoliative cells collected by scraping the mucosal surface to detect allelic loss in oral lesions of 22 patients (14 squamous cell carcinomas, 2 carcinomas in situ, and 6 dysplasias). The data show that the patterns of allelic loss observed in these samples closely represent those observed in biopsies of the same region. Furthermore, early indications are that this approach can be used to detect recurrent outgrowth of clones of altered cells in patients after therapy.
1 Supported by grants from the William and Ada Isabelle Steel Fund at Simon Fraser University and by the National Cancer Institute of Canada with funds from the Canadian Cancer Society.
2 To whom requests for reprints should be addressed, at Faculty of Dentistry, the University of British Columbia, 2199 Wesbrook Mall, Vancouver, British Columbia, V6T 1Z3 Canada. Phone: (604) 822-6337; Fax: (604) 822-8279; E-mail: lzhang@unixg.ubc.ca.
Received 8/25/97. Accepted 10/17/97.
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