Analyses of 279 cases of SCCHN by The Cancer Genome Atlas identified p53 mutations in 84% of HPV-negative tumours and only in 3% of HPV-positive tumours, supporting the thesis that smoking and alcohol related cases of SCCHN are associated with near-universal loss of p53 function through its mutation and with CDKN2A inactivation. This evidence concerns the gene TP53 and neoplasm.