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Increased mutagen-induced chromosome damage in patients with transformed laryngeal pre-cancerosis.

Abstract
Factors that contribute to malignant transformation of laryngeal pre-neoplastic lesions remain largely unknown. Potential etiological factors may be related to a genetically controlled sensitivity to environmental carcinogens. In this study, we investigated bleomycin-induced chromosome damage in 15 patients who experienced a malignant transformation of preneoplastic laryngeal lesions during follow-up, as compared with chromosome fragility in 30 historical controls with no progression of keratoses during a 10-year follow-up, in a match-paired analysis. Chromosomal analysis demonstrated higher sensitivity to clastogens in patients with malignant progression of laryngeal pre-neoplastic lesions than that of control patients with no evolution of their original laryngeal keratoses (p = 0.003). Furthermore, among the study patients, chromosome sensitivity was most apparent in non-tobacco users with malignant transformation of laryngeal disease. Our data suggest that subjects with pre-neoplastic laryngeal lesion showing increased susceptibility to carcinogens could be at higher risk for development of laryngeal carcinoma.
AuthorsO Gallo, R Santoro, S Lenzi, V Boddi, M L Giovannucci-Uzielli
JournalInternational journal of cancer (Int J Cancer) Vol. 68 Issue 6 Pg. 700-3 (Dec 11 1996) ISSN: 0020-7136 [Print] United States
PMID8980169 (Publication Type: Journal Article)
Chemical References
  • Mutagens
  • Bleomycin
Topics
  • Adult
  • Aged
  • Bleomycin (toxicity)
  • Case-Control Studies
  • Cell Transformation, Neoplastic (genetics, pathology)
  • Chromosome Aberrations (genetics)
  • Cytogenetics
  • Female
  • Humans
  • Laryngeal Diseases (genetics, pathology)
  • Laryngeal Neoplasms (etiology)
  • Lymphocytes (drug effects)
  • Male
  • Middle Aged
  • Mutagens (toxicity)
  • Precancerous Conditions (genetics, pathology)
  • Smoking

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