Complex karyotypes are often seen in primary surface epithelial ovaria
n tumors (SEOTs). Conventional cytogenetic as well as fluorescence in
situ hybridization analyses coupled with loss of heterozygosity studie
s identified abnormalities of chromosome 6 as one of the most frequent
lesions in these types of tumors. We performed cytogenetic analysis o
f direct preparations from 40 SEOTs, including borderline tumors and l
ow-, intermediate-, and high-grade carcinomas to verify the frequency
of chromosome 6 alterations. We also carried out fluorescence in situ
hybridization analysis with a chromosome 6 library and yeast artificia
l chromosome clones from a region of the same chromosome (6q27). Chrom
osome 6 abnormalities were identified in 30 of 32 analyzable SEOTs. Tw
enty-five of 32 cases showed a deletion of 6q irrespective of their hi
stological grade. We wish to underline that this is the first report p
roving that del(6q) was the most frequent chromosome anomaly in near-d
iploid SEOTs and that it was the sole anomaly observed in four SEOTs w
ith diploid complement. Our findings suggest that abnormalities of the
telomeric region of chromosome 6 (6q27) may be considered one of the
earliest lesions in the pathogenesis of ovarian carcinomas.