LOH at chromosome arms 3p, 9p, 11q, and 17p are wellestablished oncogenetic aberrations in oral precancerous lesions and promising biomarkers to monitor the development of oral cancer. Noninvasive LOH screening of brushed oral cells is a preferable method for precancer detection in patients at increased risk for head and neck squamous cell carcinoma (HNSCC), such as patients with Fanconi anemia. We determined the prevalence of LOH in brushed samples of the oral epithelium of 141 patients with Fanconi anemia and 144 aged subjects, and studied the association between LOH and HNSCC. LOH was present in 14 (9.9%) nontransplanted patients with Fanconi anemia, whereas LOH was not detected in a low-risk group (n ¼ 50, >58 years, nonsmoking/nonalcohol history) and a group with somewhat increased HNSCC risk (n ¼ 94, >58 years, heavy smoking/excessive alcohol use); Fisher exact test, P ¼ 0.023 and P ¼ 0.001, respectively. Most frequent genetic alteration was LOH at 9p. Age was a signif-