Small-cell lung cancer is characterized by a high incidence of deletions on chromosomes 3p, 4q, 5q, I Oq, 13q and 17p I Petersen', H Langreckl, G Wolf1, A Schwendel', R Psillel, P Vogt2, MB Reichel2, T Ried3 and M Dietell Institute of Pathology, University Hospital Charit6, Berlin, Germany; 2Department of Pathology, University Hospital, Zurich, Switzerland; 3National Center for Human Genome Research, NIH, Bethesda, MD, USA Summary The genetic mechanisms that define the malignant behaviour of small-cell lung cancer (SCLC) are poorly understood. We performed comparative genomic hybridization (CGH) on 22 autoptic SCLCs to screen the tumour genome for genomic imbalances. DNA loss of chromosome 3p was a basic alteration that occurred in all tumours. Additionally, deletions were observed on chromosome 1 Oq in 94% of tumours and on chromosomes 4q, 5q, 1 3q and 1 7p in 86% of tumours. DNA loss was confirmed by loss of heterozygosity (LOH) analysis for chromosomes 3p, 5q and 1 Qq. Simultaneous mutations of these six most abundant genetic changes were found in 12 cases. One single tumour carried at least five deletions. DNA under-representations were observed less frequently on chromosome 15q (55%) and chromosome 1 6q (45%). The prevalent imbalances were clearly indicated by the superposition of the 22 tumours to a CGH superkaryogram. In our view, the high incidence of chromosomal loss is an indication that SCLC is defined by a pattern of deletions and that the inactivation of multiple growth-inhibitory pathways contributes in particular to the aggressive phenotype of that type of tumour.