Mutations in the p53 gene were detected in 58% of tumor DNAs of patien
ts with a family history of breast cancer (FHBC) compared to 13% with
sporadic breast cancer. Seven of 18 FHBC tumors contained the same G t
o C transversion in codon 156. Novel alleles of altered length were se
en in one or more loci on chromosome 17 in U of 18 patients with FHBC
but only in a single locus in 8 of 14 patients with sporadic breast ca
ncer. The frequency of tumors with mutations in p53, often multiple, a
ccompanied by the appearance of multiple altered-length alleles sugges
t that DNA replication or repair defects may presage genomic instabili
ty in cases with FHBC.