Cervical intraepithelial neoplasia grade I11 (CIN 111) and squamous cell carcinoma (INV) were examined using DNA ploidy and cytophotometric analysis. Based on hysterectomy, exconisation, and biopsy material from 69 patients in two age categories, analysis was performed in nuclei isolated from selected areas of paraffin-embedded tissue. High percentages of DNA-diploidy in INV lesions were found mainly in the group of patients age 45 years or younger. CIN I11 lesions in women age 46 or older demonstrated high percentages of DNAaneuploidy. DNA-polyploidy was most frequent in CIN I11 lesions in the younger age category. The results of cytophotometric analysis indicated that the overall mean values of 16 nuclear photometric features discriminated significantly between the whole groups of CIN I11 (n = 37) and INV (n = 32). On an individual patient level, however, the mean feature values showed a large overlap. Based on the results of a stepwise linear discriminant analysis of patient mean values, a combination of geometrical and runlength texture features was used to discriminate between CIN I11 and INV lesions. The correct classification rate was highest in the category of patients in the older age category. The results of this study indicate age related differences in CIN I11 and invasive squamous cell carcinoma, and they may be of help in assessing cytophotometric features in the study of progressive and non-progressive CIN lesions.Key terms: Age, paraffin-embedded sample, cytospin, progressive potential Cervical intraepithelial neoplasia grades I to I11 (CIN 1-111 = dysplasia and carcinoma in situ) are potentially precancerous lesions. They can progress to invasive squamous cell carcinoma, but can also persist or return to normal. Earlier follow-up studies of light microscopically detected CIN I and I1 lesions have shown varying frequencies of progression, persistence, and regression (8,9,12,13,19,20,26,28). The end point of most follow-up studies of CIN I and I1 was the development of CIN 111 ( = severe dysplasia and carcinoma in situ), at which time the patients were treated or left the study. Data on the follow-up of CIN 111 itself are less frequent but generally indicate that a relatively small number of CIN I11 lesions will eventually progress to a n invasive squamous cell carcinoma (9,12,13,18,19). Light microscopically, CIN I11 can not be subdivided into progressive, persistent, or regressive subtypes, and as a consequence all cases of CIN I11 are treated as essentially premalignant, potentially progressive lesions. An alternative for visual light microscopic evaluation of CIN I11 lesions is the study of nuclear DNA ploidy and cytophotometric analysis of structural nuclear changes. DNA ploidy analysis, using flow cytometric and histometric techniques, has indicated high percentages of DNA-aneuploidy in CIN 111 lesions (10,16). On this basis some authors concluded that DNA-aneuploidy is a marker for progression in CIN lesions (10). In a recent study on 39 patients with CIN 111, with and without synchronous i...