Development of squamous cell carcinomas (SCCs) involves alterations in the adhesive interactions in the epithelium and invasion through the basement membrane. Therefore, changes in the expression of receptors and ligands involved in cell‐cell and cell‐matrix adhesion may be essential for the transformation of a premalignant into a malignant lesion. The aim of this study was to examine if expression of specific cell adhesion molecules can be used as markers of malignant development. By immunohistochemistry, we examined the expression pattern of integrins α2β1, α3β1, α6β4 and laminin‐5 in biopsies from SCCs (n=18), premalignant lesions (leukoplakias, n=21) and non‐premalignant tissue with chronic inflammation (n=11). In poorly differentiated SCCs, patchy loss of α3β1, α6β4 and laminin‐5 expression was pronounced at the invasion front, whereas there was a tendency to increased expression of α2β1. Analogous to the SCCs, biopsies from the leukoplakias and the non‐premalignant inflammatory tissue showed alterations of the expression of α3β1 and α6β4 in the basal cell layers and of laminin‐5. However, a characteristic finding in biopsies from leukoplakias was loss of α2β1 and α3β1 in the suprabasal cells. There was no unequivocal expression of the adhesion molecules distinguishing between inflammatory tissue, premalignant, and malignant lesions.