“…However, they pose an overall increased risk of neoplastic progression, and this is likely to depend on the specific cellular phenotype that has been selected [ 54 ]. Along these lines, we have provided evidence to suggest that a focal growth pattern, rather than clonal growth per se, represents a critical hallmark of pre-neoplastic lesions, including polyps, nodules/adenomas, and papillomas, while clones that are histologically normal and well-integrated in the host tissue bear little or no relevance to neoplastic disease [ 103 , 104 ]. Within this perspective, cancer is fundamentally interpreted as a disease originating from an alteration in tissue pattern formation [ 105 , 106 , 107 ].…”