Purpose: Gene copy number alteration (CNA) is common in malignant melanoma and is associated with tumor development and progression. The concordance between molecular cytogenetic techniques used to determine CNA has not been evaluated on a large set of loci in malignant melanoma. Experimental Design: A panel of 16 locus-specific fluorescence in situ hybridization (FISH) probes located on eight chromosomes was used to identify CNA in touch preparations of frozen tissue samples from 19 patients with metastatic melanoma (SWOG-9431). A subset (n = 11) was analyzed using bacterial artificial chromosome (BAC) array comparative genomic hybridization (aCGH) of DNA isolated directly from touch-preparation slides. Results: By FISH, most samples showed loss near or at WISP3/6p21, CCND3/6q22, and CDKN2A/9p21 (>75% of samples tested). More than one third of CDKN2A/9p21 losses were biallelic. Gains of NEDD9/6p24, MET/7q31, and MYC/8q24 were common (57%, 47%, and 41%, respectively) and CNA events involving 9p21/7p12.3 and MET were frequently coincident, suggesting gain of the whole chromosome 7. Changes were confirmed by aCGH, which also uncovered many discreet regions of change, larger than a single BAC. Overlapping segments observed in >45% of samples included many of the loci analyzed in the FISH study, in addition to other WNT pathway members, and genes associated withTP53 pathways and DNA damage response, repair, and stability. Conclusions: This study outlines a set of CNAs at the gene and regional level, using FISH and aCGH, which may provide a benchmark for future studies and may be important in selection of individual therapy for patients with metastatic malignant melanoma.Skin cancer occurs in more than 1,200,000 Americans annually (1). Most cases are highly curable squamous and basal cell cancers, but f62,500 new cases of melanoma will be diagnosed this year in the United States. The incidence of melanoma has steadily been increasing, and melanoma causes more than 8,400 deaths per year in this country, accounting for the vast majority of skin cancer deaths (1). Early detection and surgery are key to improved survival. Once metastatic melanoma is diagnosed, median survival duration of only 6 to 9 months is expected.Primary melanoma lesions have largely been characterized by Breslow's depth, Clark's level, ulceration, microscopic involvement of regional lymph nodes, as well as mitotic index, lymphocyte infiltration, and signs of regression. Metastatic melanoma is staged based on location of lesions, such as skin, lymph nodes, lung, liver, and other organ sites, and finally, serum lactate dehydrogenase. With advances in genetic technology, new tools have been developed that may facilitate the collection of a set of potentially robust prognostic genetic indicators (2, 3) to augment the anatomic classifications.Cytogenetic, molecular, and biological studies indicate that multiple genetic alterations are involved in the development and progression of malignant melanoma, with several genes and chromosomal sites del...