Several laryngeal and thyroid carcinomas were studied immunohistochemi
cally to evaluate whether the expression and distribution of integrins
and basal lamina components can represent reproducible markers for co
rrect early diagnosis and prognosis. In laryngeal cancers, the depolar
ization and pericellular redistribution of alpha 3 beta 1 and alpha 6
beta 4, and focal or massive fragmentation of the basal lamina, accord
ing to tumor prognosis, occurred. In thyroid carcinomas, loss of polar
topography of alpha 3 beta 1 and neo-expression of alpha 6 beta 4 in
histopathologically or clinically aggressive cancers were observed. Th
erefore, the addition of a panel of adhesion molecules to the toolbox
of surgical pathologists may improve diagnostic and prognostic procedu
res.