Comparative genomic hybridization (CGH) was applied to squamous cell carcin
omas of the head and neck to define genetic alterations that are associated
with the metastatic phenotype. Methods: CGH is a molecularcytogenetic meth
od allowing the comprehensive analysis of a tumor genome for chromosomal im
balances. In total, 23 primary squamous cell carcinomas without evidence of
metastasis formation and 20 lymph node metastases were investigated. Resul
ts: Prevalent changes observed in more than 50% of the primary tumors inclu
ded deletions on chromosomes 3p, 4p/q, 5q, 6q, 9p, 11q, 13q, and 18q, and D
NA overrepresentations on chromosomes 1p, 3q, 5p, 8q, 9q, 11q13, 16p, 17q,
19p, 20q, and 22q. To evaluate the differences between both groups we used
a histogram representation, calculation of a difference histogram, and stat
istical analysis. The analysis revealed that the lymph node metastases were
frequently characterized by deletions on chromosomes 10, 11, and 14. In pa
rticular, DNA loss of the chromosomal bands 5p12, 10p11.2-12, 10q21, 10q22-
23, 10q24-26, 11p13-14, 11q24-25, and 14q22-24 were significantly associate
d with metastases formation. The statistical analysis indicated that partic
ularly the deletions on chromosome 10q were highly significant markers for
the incidence of lymph node metastases. Conclusion: Our data indicate that
tumor phenotypes are determined by patterns of chromosomal alterations, and
that 10q deletions may predict the metastatic phenotype in head and neck s
quamous cell carcinomas.