Forty-four cases of myelodysplasia in children were studied. cellaneous conditions with or without dysmorphia, malfor-A third of the cases were unclassifiable according to the FAB mations, or mental retardation. 1,3,7,8,10,11 system. Twenty-five cases were 'idiopathic' myelodysplastic We present data on 44 cases of childhood myelodysplasia: syndromes (MDS), four were secondary to chemo-and/or radio-25 idiopathic, four secondary, and 15 genetic cases. therapy, and 15 (1/3) were found associated with a congenital genetic disease (such as familial myelodysplasia, chromosome syndrome, or various dysmorphic features). Polyclonality was retained in some cases, even in the 'idiopathic MDS' group, Patients and methods demonstrating that non-malignant myelodysplasia does exist. Sex ratio was well balanced in this study; mean age at diag-A prospective study was designed by us in conjunction with nosis was 4 years; median survival was 3 years; prognosis was the Société d'Hématologie et d'Immunologie Pédiatrique better in girls and in young children; normal karyotypes were (SHIP). Data were, however, collected independently, with associated with a better outcome, monosomy 7 with intermediate survival, and other chromosomal findings, including tri-different inclusion dates for patients. Data from 10 of our 44 somy 8 and 19, with a worse prognosis; refractory anaemia with