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The aim of this study was to confirm the existence of specific nuclear texture feature alterations of histologically normal epithelial borders nearby invasive laryngeal cancer (NC). Paraffin sections of NC and of chronic inflammations unrelated to cancer (CI) were analysed for nuclear texture and for integrated optical density (IOD‐index) and were compared to normal epithelium of patients without evidence of cancer (NE). Several discriminant functions based on nuclear texture features were trained to separate different subgroups. As the most important result, specific nuclear texture feature shifts were only found in NC with high‐density lymphocytic stroma infiltrate (NC+). Classification of nuclei of NE versus NC+ was correct in 70%. The same classifier was correct in only 58% when nuclei of NE were classified versus CI. We also found lower values of IOD‐Index within the NC+ group when compared to NE (p < 0:001).

For almost ten years. Malignancy Associated Changes have been consistently found by means of high resolution image analysis of apparently normal uterine cervix cells. The study was performed on normal intermediate cells randomly selected from 1850 cervical smear slides classified as negative, mild dysplasia, moderate dysplasia and severe dysplasia. Size and texture features, performed by the Cyto-Savant software, have shown significant monotonic changes with the grade of dysplasia. These findings indicate that the intensity of Malignancy Associated Changes are directly related to the severity of the adjacent lesions.