Expression of retinoblastoma (Rb) protein was immunohistochemically ex
amined in laryngeal squamous cell neoplasias from 72 patients. Stainin
g patterns were considered with reference to such prognostic factors a
s patient's age, histologic grade, tumour size and lymph node status,
and 5-year survival rate. Rb protein negativity, either partial or com
plete, was noted in 28.8% of cases and was associated with a significa
ntly lower 5-year survival rate, as well as with a higher likelihood o
f lymph node metastasis. This suggests that Rb alteration may be a pro
gnostic indicator in patients with laryngeal carcinoma.