Lung cancer is the leading cause of cancer-related death in the world. To understand the molecular processes and pathways of, and contributing factors to lung cancer progression, genetic alterations in various progression stages of lung cancer cells have been studied, since these alterations can be regarded as molecular footprints representing the individual processes of multistage lung carcinogenesis. The results indicate that defects in both the p53 and RB/p16 pathways are essential for the malignant transformation of lung epithelial cells. Several other genes, such as Kras, PTEN and MYO18B, are genetically altered less frequently than p53 and RB/p16 in lung cancer cells, suggesting that alterations in these genes are associated with further malignant progression or unique phenotypes in a subset of lung cancer cells. everal genes are known to be genetically altered in human cancer cells. Most, if not all, of those alterations are considered as being critical for changing the phenotype of non-cancerous cells or cancer cells to more malignant ones by stepwise progression. Thus, genetic alterations responsible for each step of phenotypic change in the cells should be left in cancer cells as molecular footprints as long as the cells retain malignant phenotypes. Accordingly, the pathogenetic significance of each genetic alteration can be evaluated by analyzing the timing and specificity of the occurrence of the alteration during the course of cancer progression. In other words, the overall process of multistage human carcinogenesis is represented by accumulated genetic alterations (molecular footprints) in cancer cells. Since it is impossible to follow the process of accumulating genetic alterations in each cell in cancer patients, such molecular footprints are the most convincing evidence for understanding the process of multistage human carcinogenesis. Thus, if we could identify all the molecular footprints in cancer cells and correlate each of them with each specific phenotype of the cells, it would be possible to find novel ways of controlling malignant phenotypes of cancer cells in vivo at various stages in cancer patients.Molecular footprints considered in this paper include point mutation, deletion/insertion, amplification, and rearrangement in oncogenes and tumor suppressor genes, and they can be detected at the levels of single nucleotides, parts of or whole genes, and also segmental or whole chromosomes. Thus, for over the last two decades, molecular studies of human cancer have been focused on the identification of target oncogenes and tumor suppressor genes, which are activated and inactivated, respectively, with various types of molecular footprints in cancer cells. Tens to hundreds of oncogenes and tumor suppressor genes have already been identified, and the processes as well as pathways of multistage carcinogenesis have been discussed on the bases of accumulated genetic alterations in cancer cells. [1][2][3] Modes of genetic alterations are different among cancer cells, even though the same genes are...