In oder to confirm whether microsatellite instability (MI) contributes
to oral carcinogenesis, we studied 30 unrelated patients with oral ca
ncer by PCR-MI assay with 14 microsatellite markers. MI was detected i
n 60% of 30 primary tumors. Tn particular, 12 of these cases presented
at least two loci with MI, which were considered as patients with rep
lication error (RER). Moreover, an additional MI, which was not observ
ed in the primary tumor and normal tissue, was observed in one lymph n
ode metastasis. We found significant correlation between RER and lymph
node metastasis. These results suggest that RER is a common event in
the oncogenesis of oral cancer and may be correlated with the progress
ion of this disease.