PMID- 21318053 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211020 IS - 1868-7075 (Print) IS - 1868-7083 (Electronic) IS - 1868-7075 (Linking) VI - 1 IP - 1-2 DP - 2010 Sep 1 TI - DNA hypermethylation markers of poor outcome in laryngeal cancer. PG - 61-69 AB - This study examined molecular (DNA hypermethylation), clinical, histopathological, demographical, smoking, and alcohol variables to assess diagnosis (early versus late stage) and prognosis (survival) outcomes in a retrospective primary laryngeal squamous cell carcinoma (LSCC) cohort. The study cohort of 79 primary LSCC was drawn from a multi-ethnic (37% African American), primary care patient population, diagnosed by surgical biopsies in the Henry Ford Health System from 1991-2004, and followed from 5-18 years (through 2009). Of the 41 variables, univariate risk factors of p<0.10 were tested in multivariate models (logistic regression diagnosis and Cox survival models p<0.05). Aberrant methylation of ESR1 (p=0.01), race as African American (p=0.04), and tumor necrosis (extensive) (p=0.02) were independent predictors of late stage LSCC. Independent predictors of poor survival included presence of vascular invasion (p=0.0009), late stage disease (p=0.03) and methylation of the HIC1 gene (p=0.0002). Aberrant methylation of ESR1 and HIC1 signified independent markers of poorer outcome. In this multi-ethnic, primary LSCC cohort, race remained a predictor of late stage disease supporting disparate diagnosis outcomes for African American patients with LSCC. FAU - Stephen, Josena K AU - Stephen JK AD - Department of Otolaryngology/Head and Neck Surgery, Henry Ford Hospital, Detroit, MI, 48202. FAU - Chen, Kang Mei AU - Chen KM FAU - Shah, Veena AU - Shah V FAU - Havard, Shaleta AU - Havard S FAU - Kapke, Alissa AU - Kapke A FAU - Lu, Mei AU - Lu M FAU - Benninger, Michael S AU - Benninger MS FAU - Worsham, Maria J AU - Worsham MJ LA - eng GR - R01 DE015990/DE/NIDCR NIH HHS/United States GR - R01 DE015990-05/DE/NIDCR NIH HHS/United States PT - Journal Article PL - Germany TA - Clin Epigenetics JT - Clinical epigenetics JID - 101516977 PMC - PMC3037188 MID - NIHMS239048 EDAT- 2011/02/15 06:00 MHDA- 2011/02/15 06:01 PMCR- 2010/06/24 CRDT- 2011/02/15 06:00 PHST- 2011/02/15 06:00 [entrez] PHST- 2011/02/15 06:00 [pubmed] PHST- 2011/02/15 06:01 [medline] PHST- 2010/06/24 00:00 [pmc-release] AID - 5 [pii] AID - 10.1007/s13148-010-0005-3 [doi] PST - ppublish SO - Clin Epigenetics. 2010 Sep 1;1(1-2):61-69. doi: 10.1007/s13148-010-0005-3.