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View the Table of Contents for the January 15 issue of Clinical Cancer Research.
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Ductal carcinoma in situ (DCIS) is the immediate precursor of most human invasive breast cancers. Using conventional methodology, Allred and colleagues found a broad range of histological and biological diversity among cases of DCIS, which was nearly identical to the spectrum of diversity that exists in invasive breast cancers. Using more refined methods, the investigators found broad diversity within individual cases of DCIS (including luminal, basal, and erbB2-intrinsic subtypes) and discovered that this diversity was highly correlated with mutations in p53. These findings suggest that there is a great deal of plasticity during the gradual evolution of poorly differentiated tumors from well-differentiated tumors and that this progression is accelerated by genetic instability.