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[Cancer Research 62, 6447-6450, November 15, 2002]
© 2002 American Association for Cancer Research


Advances in Brief

3p14 and 9p21 Loss Is a Simple Tool for Predicting Second Oral Malignancy at Previously Treated Oral Cancer Sites1

Miriam P. Rosin2, Wan L. Lam, Catherine Poh, Nhu D. Le, Robert Jinze Li, Tao Zeng, Robert Priddy and Lewei Zhang2,3

British Columbia Cancer Research Centre, Vancouver, British Columbia, V5Z 1L3 [M. P. R., W. L. L., N. D. L.]; School of Kinesiology, Simon Fraser University, Burnaby, British Columbia, V5A 1S6 [M. P. R., C. P., R. J. L., T. Z.]; and Faculty of Dentistry, the University of British Columbia, Vancouver, British Columbia, V6T 1Z3 [C. P., R. P., L. Z.] Canada

Treatment induces reactive changes that often resemble low-grade dysplasia at former oralcancer sites, complicating histopathological assessment. We tested a set ofmicrosatellite markers shown previously to be predictive of progression for oral premalignant lesions for the ability to predict development of second oral malignancy (SOM). Sixty-eight oral leukoplakia at former cancer sites (with known outcome, 36 progressed to SOM) were evaluated for loss of heterozygosity at 19 loci on seven chromosome arms. 3p and/or 9p loss in these posttreatment leukoplakia was associated with a 26.3-fold increase in risk of developing SOM compared with those that retained both of these arms (P < 0.001), with 60% of cases with loss of heterozygosity developing SOM in 2 years. In contrast, histological diagnosis (moderate or severe dysplasia versus hyperplasia or mild dysplasia) had only a 1.7-fold increase in risk (P = 0.11). The identification of 3p and 9p loss in posttreatment lesions could serve as a simple and direct test for stratifying risk of SOM development.




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