Epidemiological studies have confirmed the correlation between tobacco smok
ing, environmental pollution and the incidence of cancers of the respirator
y tract. The occurrence of laryngeal cancer in Poland is relatively high co
mpared to other European countries. Since 1969 the mortality related to lar
ynx cancer appears to be increasing. Tobacco smoke contains an abundance of
such carcinogenic compounds as polycyclic aromatic hydrocarbons (PAH), aro
matic amines and N-nitrosoamines, which can react with DNA and form adducts
. We analyzed aromatic DNA adducts in laryngeal tissues from patients with
primary laryngeal, which was confirmed histopathologically to be squamous c
ell carcinoma. The group consisted of 33 patients (5 women and 28 men). Tot
al laryngectomy was performed in patients. A detergent-phenol method was us
ed for DNA isolation. Aromatic DNA adducts were analyzed by a P-32-postlabe
lling technique with butanol extraction and high performance liquid chromat
ography. The presence of aromatic DNA adducts was demonstrated in all tissu
es. Large interindividual differences of DNA adduct levels were seen in eac
h tissue studied. There was a higher mean level of DNA adducts in interaryt
enoid area non-tumors (51.96/10(8) +/- 91.71 NN) than in non-tumor tissue e
lswhere (46.91/10(8) +/- 46.36 NN) and tumor tissue (43.52/10(8) +/- 45.88
NN). Adduct levels were correlated with age, sex, cigarette smoking and TNM
stage.