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Published on: February 28, 2019
DNA analysis of human cholesteatomas
R B Desloge1, J F Carew, C L Finstad
1Department of Otolaryngology/Head and Neck Surgery, Manhattan Eye, Ear, and Throat Hospital, New York, NY 10021, USA.
The American Journal of Otology
|March 1, 1997
Summary
Cholesteatomas, destructive middle ear lesions, were analyzed for genetic instability. Most cholesteatomas showed normal DNA content, indicating they are not low-grade squamous cell neoplasms.
Area of Science:
- Otolaryngology
- Oncology
- Genetics
Background:
- Cholesteatomas are destructive middle ear lesions with neoplastic-like characteristics, including invasion and proliferation.
- The speculation that cholesteatomas are low-grade squamous cell neoplasms lacks substantial evidence.
- Investigating genetic abnormalities in cholesteatoma cells could clarify their neoplastic potential.
Purpose of the Study:
- To test the hypothesis that cholesteatomas are low-grade squamous cell neoplasms.
- To determine if cholesteatomas exhibit genetic instability, evidenced by abnormal DNA content (aneuploidy).
Main Methods:
- DNA content (ploidy) of cholesteatoma tissues was assessed using flow cytometry and image analysis.
- Specimens included 11 human cholesteatomas and 9 postauricular skin samples.
Main Results:
- Interpretable DNA content data was obtained from 10 cholesteatomas and 6 skin specimens.
- One cholesteatoma specimen displayed abnormal aneuploid DNA content.
- The remaining 9 cholesteatomas and 6 skin specimens exhibited normal euploid DNA content.
Conclusions:
- The study found a lack of overt genetic instability in most cholesteatomas.
- The prevalence of normal euploid DNA content suggests cholesteatomas are not low-grade neoplasms.
- Further research may be needed to fully understand cholesteatoma biology.

