Cytogenetic studies on 26 carcinomas of the cervix showed that chromosome 1 was consistently involved in the changes: either one or more structurally abnormal chromosomes or a relative excess of normal chromosomes were present. Several types of structural change were repeatedly seen: short arm deletions (lp-, in seven tumors); long arm isochromosomes (i(lq), in six tumors); and translocations of unidentified chromosomal material onto one of the arms (possibly in eleven tumors; in four of these, there was an additional C-band on the long arm). In one tumor, there was a short arm isochromosome (i(1p)). The most consistent feature of the aneuploid complements of these tumors appeared to be the presence in excess of the centromeric region and at least part of the adjacent heterochromatin of chromosome 1.Cancer 44:604-613, 1979.NUMBER OF chromosome studies of car-A cinoma of the cervix were made before the introduction of banding technique^,'"^ but no systematic studies using these new procedures have yet been reported. We describe here our findings on 24 tumors that showed reasonably good G-, C-or Q-banding, and two in which identification of the chromosomes 1 were reasonably certain in orcein-stained preparations. Since abnormalities involving chromosome 1 were relatively easy to observe, and since such abnormalities appeared to be common in other types of malignant disease (as discussed later), particular attention has been paid to this chromosome pair.
MATERIALS A N D METHODSThe tumors represent those that yielded the most favorable preparations and comprise 18 from a series of 37 received over a recent 12-month period and eight from the previous three years. Accepted for publication September 7, 1978. Brief clinical and pathologic details of the cases are shown in Table 1. Cytogenetic studies were made on uncultured biopsy specimens of the untreated primary tumors, except Case 23 which was of a vaginal recurrence following surgery. The material was converted into a cell suspension using scalpels and scissors, and the cells exposed consecutively to 2 pg/ml Colcemid and 0.04% versene, both in Earle's solution for 30 minutes at 37 C , followed by hypotonic treatment, calf serum/ 0 . 0 5 2~ KCl (1:4), for 15 minutes at 37 C. Treatment with versene aids the production of a suspension. The material was fixed in acetic acid/methanol (3:7) and slides were made by the air-drying method. The following banding techniques were used-G-banding: acetic-saline-Giemsa, trypsin, or a combination of the the latter producing the most favorable results; C-banding: BSG technique; l4 Q-banding: quinacrine dihydrochloride. N o banding procedure was used on Case 4, but the heterochromatic regions of the chromosomes 1 were distinguishable as secondary constrictions (and as darkly-staining regions in Case 2) in orcein-stained preparations.
RESULTSAs is evident from Table 1, the cases can be divided into two groups as regards modal chromosome number: a near-diploid group (Cases 1 -15) with modes varying from 40 to about 5 1, and a high-...