Arachidonic acid metabolites in saliva of patients with squamous cell carcinoma of the head and neck.

Alterations in the production of arachidonic acid metabolites by squamous epithelium of the upper aerodigestive tract may play a role in the pathogenesis of squamous cell carcinoma of the head and neck. The levels of cyclooxygenase and lipoxygenase metabolites of arachidonic acid metabolism were measured by radioimmunoassay in the saliva of 51 patients with squamous cell carcinoma of the head and neck and compared with a control group of 27 patients with no history of cancer. Levels of leukotriene B4 were significantly increased in cancer patients (p = 0.02), whereas there were no significant differences in levels of prostaglandin E2 or 15-hydroxy-eicosatetranoic acid. Levels of metabolites did not correlate with a history of tobacco use and did not change in a consistent manner after surgery. The significance of arachidonic acid metabolites in the saliva of patients with squamous cell carcinoma of the head and neck is unknown.