RT Journal Article SR Electronic T1 The Incidence of p53 Mutations Increases with Progression of Head and Neck Cancer JF Cancer Research JO Cancer Res FD American Association for Cancer Research SP 4477 OP 4480 VO 53 IS 19 A1 Boyle, Jay O. A1 Hakim, John A1 Koch, Wayne A1 Riet, Peter van der A1 Hruban, Ralph H. A1 Roa, R. Arturo A1 Correo, Russell A1 Eby, Yolanda J. A1 Ruppert, J. Michael A1 Sidransky, David YR 1993 UL http://cancerres.aacrjournals.org/content/53/19/4477.abstract AB To establish a genetic model of the progression of head and neck squamous carcinoma we have defined the incidence and timing of p53 mutations in this type of cancer. We sequenced the conserved regions of the p53 gene in 102 head and neck squamous carcinoma lesions. These included 65 primary invasive carcinomas and 37 noninvasive archival specimens consisting of 13 severe dysplasias and 24 carcinoma in situ lesions. The incidence of p53 mutations in noninvasive lesions was 19% (7/37) and increased to 43% (28/65) in invasive carcinomas. These data suggest that p53 mutations can precede invasion in primary head and neck cancer. Furthermore, the spectrum of codon hotspots is similar to that seen in squamous carcinoma of the lung and 64% of mutations are at G nucleotides, implicating carcinogens from tobacco smoke in the etiology of head and neck squamous carcinoma. ©1993 American Association for Cancer Research.