“…According to current hypothesis, overt clinical neoplasia develops in cell populations through a sequence of changes that are often disguised as hyperplasia (Berenblum and Shubik, 1947a, 1947band 1949Shubik, 1950;Gallager and Martin, 1969;Foulds, 1975;Jensen et a/., 1976). Berenblum and Shubik (1947a) and Shubik (1950) developed the concept that epithelium converts to hyperplastic epithelium under the influence of an "initiator" factor. Thereupon hyperplastic epithelium either reverts to normal, remains hyperplastic or proceeds towards overt carcinoma, depending on the presence of promoting factors (Berenblum and Shubik, 1947aShubik, , 1947bShubik, and 1949Shubik, 1950;Foulds, 1975).…”