Standard treatment of patients with malignant disease has for many yea
rs focused on local surgery, radiation, and systemic chemotherapy. Bec
ause available therapy has remained unsatisfactory for the more freque
nt cancers, oncologists have been forced to explore novel therapeutic
approaches. The recognition of existing genetic differences between no
rmal and malignant cells as well as progress in immunology, molecular
and cellular biology have made preclinical development and clinical ap
plication of a variety of gene therapeutic strategies possible, which
are highlighted in this article.