The presence of benign proliferative lesions is a risk factor for the
development of cancer. However, only a subset of individuals presentin
g with benign lesions goes on to develop cancer. It is a major challen
ge of cancer research to identify those individuals at increased risk
for this neoplastic progression. It has been suggested that individual
s with inherent genomic instability may have a predisposition for canc
er development. The hypothesis is presented that this genetic instabil
ity could be quantified through the analysis of apoptosis in biopsies
of benign lesions. It is further conjectured that genetic damage-depen
dent apoptosis might serve as a prognostic indicator to identify indiv
iduals at increased risk for cancer.