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Armitage–Doll multistage model of carcinogenesis

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This was some of the earliest strong evidence that cancer was the result of an accumulation of mutations. With their 1954 paper, Armitage and Doll began a line of research that led to Knudson's
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Knudson, A.G., 1971. Mutation and cancer: statistical study of retinoblastoma. Proceedings of the National Academy of Sciences, 68(4), pp.820-823.
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Steven A Frank (2004) "Commentary: Mathematical models of cancer progression and epidemiology in the age of high throughput genomics",
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mutations were required to initiate a tumour. This is now widely accepted, and part of the mainstream view of
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Richard Doll (2004) "Commentary: The age distribution of cancer and a multistage theory of carcinogenesis",
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Suresh H Moolgavkar (2004) "Commentary: Fifty years of the multistage model: remarks on a landmark paper",
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was typically between 5 and 7. Other cancers were later discovered to require fewer mutations:
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The rate of incidence and mortality from a wide variety of common cancers follows a
43:. The original paper has recently been reprinted with a set of commentary articles. 32: 382: 447: 55:: someone's risk of developing a cancer increases with a power of their age. 52: 36: 291: 272:"The Age Distribution of Cancer and a Multi-Stage Theory Of Carcinogenesis" 390: 368: 354: 340: 40: 455: 398: 217: 193: 66: 223: 199: 174: 314:Ashley, D. J. B., Brit. J. Cancer, 23, 313 (1969) 302:Nordling, C. O. (1953) Brit. J. Cancer, 7, 68. 475: 418: 8: 211:. In their original paper, they found that 482: 468: 425: 411: 187:Their interpretation was that a series of 216: 192: 160: 127: 114: 104: 94: 84: 67: 65: 310: 308: 266: 264: 260: 7: 436: 434: 379: 377: 58:The model is very simple, and reads 454:. You can help Knowledge (XXG) by 397:. You can help Knowledge (XXG) by 77: 74: 71: 68: 14: 278:, 8 (1), 1-12. Reprinted (2004): 270:Armitage, P. and Doll, R. (1954) 438: 381: 35:, in which a series of discrete 147: 135: 1: 16:Statistical model in biology 532: 433: 376: 247:and thus the discovery of 23:is a statistical model of 284:British Journal of Cancer 276:British Journ. of Cancer 249:tumour suppressor genes 450:-related article is a 292:10.1038/sj.bjc.6602297 225: 201: 184:in Ashley's notation. 176: 27:, proposed in 1954 by 226: 202: 177: 215: 191: 64: 21:Armitage–Doll model 506:Medical statistics 369:10.1093/ije/dyh359 361:Int. J. Epidemiol. 355:10.1093/ije/dyh288 347:Int. J. Epidemiol. 341:10.1093/ije/dyh222 333:Int. J. Epidemiol. 245:two-hit hypothesis 221: 197: 172: 463: 462: 406: 405: 363:33(6): 1183-1184 349:33(6): 1182-1183 335:33(6): 1179-1181 286:, 91, 1983–1989. 224:{\displaystyle r} 200:{\displaystyle r} 154: 523: 516:Statistics stubs 484: 477: 470: 442: 435: 427: 420: 413: 385: 378: 324: 321: 315: 312: 303: 300: 294: 268: 230: 228: 227: 222: 206: 204: 203: 198: 181: 179: 178: 173: 171: 170: 155: 153: 133: 132: 131: 119: 118: 109: 108: 99: 98: 85: 80: 531: 530: 526: 525: 524: 522: 521: 520: 491: 490: 489: 488: 432: 431: 374: 328: 327: 322: 318: 313: 306: 301: 297: 269: 262: 257: 241: 213: 212: 189: 188: 156: 134: 123: 110: 100: 90: 86: 62: 61: 49: 17: 12: 11: 5: 529: 527: 519: 518: 513: 511:Oncology stubs 508: 503: 501:Carcinogenesis 493: 492: 487: 486: 479: 472: 464: 461: 460: 443: 430: 429: 422: 415: 407: 404: 403: 386: 372: 371: 357: 343: 326: 325: 316: 304: 295: 259: 258: 256: 253: 240: 237: 233:retinoblastoma 220: 209:carcinogenesis 196: 169: 166: 163: 159: 152: 149: 146: 143: 140: 137: 130: 126: 122: 117: 113: 107: 103: 97: 93: 89: 83: 79: 76: 73: 70: 48: 45: 29:Peter Armitage 25:carcinogenesis 15: 13: 10: 9: 6: 4: 3: 2: 528: 517: 514: 512: 509: 507: 504: 502: 499: 498: 496: 485: 480: 478: 473: 471: 466: 465: 459: 457: 453: 449: 444: 441: 437: 428: 423: 421: 416: 414: 409: 408: 402: 400: 396: 393:article is a 392: 387: 384: 380: 375: 370: 366: 362: 358: 356: 352: 348: 344: 342: 338: 334: 330: 329: 320: 317: 311: 309: 305: 299: 296: 293: 289: 285: 281: 277: 273: 267: 265: 261: 254: 252: 250: 246: 238: 236: 234: 218: 210: 194: 185: 182: 167: 164: 161: 157: 150: 144: 141: 138: 128: 124: 120: 115: 111: 105: 101: 95: 91: 87: 81: 59: 56: 54: 46: 44: 42: 38: 34: 30: 26: 22: 456:expanding it 445: 399:expanding it 388: 373: 360: 346: 332: 319: 298: 283: 275: 242: 186: 183: 60: 57: 50: 33:Richard Doll 20: 18: 495:Categories 448:statistics 255:References 39:result in 165:− 142:− 121:⋯ 53:power law 47:The model 37:mutations 391:oncology 280:reprint 239:History 41:cancer 446:This 389:This 452:stub 395:stub 31:and 19:The 365:doi 351:doi 337:doi 288:doi 497:: 307:^ 282:, 274:, 263:^ 251:. 483:e 476:t 469:v 458:. 426:e 419:t 412:v 401:. 367:: 353:: 339:: 290:: 219:r 195:r 168:1 162:r 158:t 151:! 148:) 145:1 139:r 136:( 129:r 125:p 116:3 112:p 106:2 102:p 96:1 92:p 88:N 82:= 78:e 75:t 72:a 69:r

Index

carcinogenesis
Peter Armitage
Richard Doll
mutations
cancer
power law
carcinogenesis
retinoblastoma
two-hit hypothesis
tumour suppressor genes


"The Age Distribution of Cancer and a Multi-Stage Theory Of Carcinogenesis"
reprint
doi
10.1038/sj.bjc.6602297


doi
10.1093/ije/dyh222
doi
10.1093/ije/dyh288
doi
10.1093/ije/dyh359
Stub icon
oncology
stub
expanding it
v
t

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