## Abstract Current cervical cancer screening is based on morphological assessment of Pap smears and associated with significant false negative and false positive results. Previously, we have shown that detection of hypermethylated genes in cervical scrapings using quantitative methylation‐specific
Significance of promoter hypermethylation of p16 gene for margin assessment in carcinoma tongue
✍ Scribed by Parul Sinha; S. Bahadur; Alok Thakar; Ajay Matta; Muzafar Macha; Ranju Ralhan; S. Datta Gupta
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 491 KB
- Volume
- 31
- Category
- Article
- ISSN
- 1043-3074
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
Background
Loss of p16 expression by promoter hypermethylation has been reported as an early event in the development of oral cancer. The aim of our study was to explore the prognostic implications of presence of promoter hypermethylation of p16 gene in surgical margins in carcinoma tongue.
Methods
A prospective analysis of 38 patients with resectable carcinoma tongue was carried out. DNA from tumor and the surgical margins was assessed by methylation‐specific polymerase chain reaction. Follow‐up duration was 17 to 37 months.
Results
About 86.8% of tumors showed promoter hypermethylation of p16 gene. Out of 30 patients with histologically free margins, 43.3% showed positivity on molecular assessment. Patients with positive molecular margins had a 6.3‐fold increased risk of having local recurrence as compared to patients with negative margins.
Conclusion
Promoter hypermethylation of p16 gene may serve as a useful molecular marker for predicting local recurrence in carcinoma tongue. © 2009 Wiley Periodicals, Inc. Head Neck, 2009
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