For bronchogenic carcinoma, if and when the sequential process of carc
inogenesis is reversible is fundamental to chemoprevention research. I
n our hamster model, focally originating non-small cell lung carcinoma
(NSCLC) develops via a reproducible sequential process of carcinogene
sis by 180 days after endobronchial sustained-release implants (SRIs)
of 10% benzo(a)pyrene. In this study, 114 hamsters received removable
10% benzo(a)pyrene SRIs. Short-term controls were sacrificed in 3 grou
ps at 50, 65, and 80 days after SRI placement. Three experimental grou
ps had SRIs removed at 50, 65, and 80 days after placement, and sacrif
ice was delayed until 100 to 180 days later. Long-term controls retain
ed SRIs until sacrifice at 180 or 240 days after SRI placement. All lo
ng-term controls had NSCLC. Preneoplastic change was more common in 50
- and 65-day controls, as compared with hamsters with equal duration o
f SRI exposure whose sacrifice was delayed until 100 to 180 days after
SRI removal (p < 0.05). The 56% incidence of early NSCLC in hamsters
sacrificed after 80 days of SRI exposure decreased to 5% in hamsters t
hat had delayed sacrifice after SRI removal after 80 days of exposure.
At the 10% benzo(a)pyrene dose used, hamster bronchial epithelium req
uires more than 80 days of continuous exposure to become irreversibly
committed to NSCLC uniformly. Microinvasive NSCLC in hamsters often re
gresses, and it is not necessarily a precursor of overt invasive cance
r. The removable SRI model provides new opportunities to evaluate chem
oprevention of NSCLC and the related molecular-genetic control mechani
sms.