Arg72Pro is a common polymorphism in TP53, showing differences in its biological functions. Case-control studies have been performed to elucidate the role of Arg72Pro in cancer, although the results are conflicting and heterogeneous. Here, we analyzed pooled data from case-control studies to determine the role of Arg72Pro in different cancer sites. We performed a systematic review and meta-analysis of 302 case-control studies that analyzed Arg72Pro in cancer susceptibility. Odds ratios were estimated for different tumor sites using distinct genetic models, and the heterogeneity between studies was explored using I 2 values and meta-regression. We adopted quality criteria to classify the studies. Subgroup analyses were done for tumor sites according to ethnicity, histological, and anatomical sites. Results indicated that Arg72Pro is associated with higher susceptibility to cancer in some tumor sites, mainly hepatocarcinoma. For some tumor sites, quality of studies was associated with the size of genetic association, mainly in cervical, head and neck, gastric, and lung cancer. However, study quality did not explain the observed heterogeneity substantially. Meta-regression showed that ethnicity, allelic frequency and genotyping method were responsible for a substantial part of the heterogeneity observed. Our results suggest ethnicity and histological and anatomical sites may modulate the penetrance of Arg72Pro in cancer susceptibility. This meta-analysis denotes the importance for more studies with good quality and that the covariates responsible for heterogeneity should be controlled to obtain a more conclusive response about the function of Arg72Pro in cancer.The tumor TP53 suppressor gene plays a pivotal role in protecting cells against genotoxic insults of endogenous or environmental agents, which orchestrate a diversity of pathways from transcriptional responses to apoptosis. 1,2 Although TP53 mutations are thought to be associated with carcinogenesis, 3,4 polymorphisms in TP53 seem to have a modest effect on cell phenotype, leading to different patterns of cancer susceptibility. 5 Among known TP53 polymorphisms, 6 Arg72Pro is the most studied, and in vitro assays have demonstrated a differential ability to trigger apoptosis 7 and susceptibility for degradation by the E6 protein of the HPV-16 virus. 8 However, in the epidemiologic field, even with a considerable number of reports analyzing the p53 Arg72Pro polymorphism and risk of cancer in case-control studies, results remain conflicting rather than conclusive. For breast cancer, for example, results vary from protective 9-12 to no association [13][14][15] or increase in risk. [16][17][18] Similar conflicting results are also observed for esophageal, 19-22 lung, 23-25 and colorectal cancer [26][27][28] and other cancer types. To better understand the role of Arg72-Pro, recent meta-analysis studies have been performed for different cancer types, such as lung, 29 gastric, 30 and cervical cancer. 31 However, each of these meta-analyses is restricted to a specif...