Hafner, Christian and Hartmann, Arndt and Knuechel, Ruth and Dietmaier, Wolfgang and Landthaler, Michael and Vogt, Thomas (2003) Molecular genetic analysis excludes implantation metastasis of basal cell carcinomas. ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE, 127 (9). pp. 1221-1224. ISSN 0003-9985
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Basal cell carcinoma (BCC) of the skin is the most common tumor in the white population. A 66-year-old man developed 2 BCCs at the left parietal region of the head and at the helix of the left ear. The 2 lesions matched exactly when pressing the ear against the head, suggesting an implantation metastasis mechanism. Molecular genetic techniques were used to confirm or exclude such a mechanism in this rare clinical constellation. Tumor tissues were precisely microdissected for DNA isolation. Exons 5-9 of the p53 tumor suppressor gene were directly sequenced. In addition, loss of heterozygosity analysis of chromosome 9q was performed using 5 polymorphic microsatellite markers. The BCC of the ear revealed a p53 mutation at codon 273, whereas the other one lacked this mutation. In addition, the smaller BCC of the ear showed loss of heterozygosity at 9q33.3, in contrast with the larger BCC. Interestingly, histologically normal skin of the ear distant from the small BCC had the same deletion, indicating a field defect of this skin patch at 9q33.3. Molecular genetic analysis clearly demonstrated different genetic alterations of the two BCCs and therefore most likely excludes a mechanism of implantation metastasis.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SKIN; HETEROZYGOSITY; CANCER; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Dermatologie und Venerologie Medicine > Lehrstuhl für Pathologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 01 Sep 2021 07:23 |
| Last Modified: | 01 Sep 2021 07:23 |
| URI: | https://pred.uni-regensburg.de/id/eprint/38621 |
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