This study was a n attempt a t defining the cytogenetic features of erythroleu-kemia (EL), particularly as related to the group of AML patients with MAKA (major karyotypic abnormalities), which generally were caused by three or more cellular events of translocation or nondisjunction. Eight of the 17 patients with MAKA had a diagnosis of E L or possible EL. I n most cases, MAKA was featured by hypodiploidy, karyotypic instability, and polyploidy in the leu-kemic cells. The most common abnormalities were loss of B or G group chromosomes and gain of a #16 or one or more marker chromosomes. Each of the markers of 2q+, Dqf, mar(A2, st), mar(C12, M), r(?F) and minute metacentric and acentric markers was observed in two or more patients .The extent of polyploidy seemed to be correlated with the proportion of erythroid precursor cells i n the marrow and with the karyotypic instability. Since the patients exhibited the same chromosomal features, whether or not they h a d a diagnosis of E L or possible EL, a n d since patients without such a diagnosis also had cytologic suggestions of EL, a close relation of MAKA t o E L is assumed. I t is believed that patients with MAKA constitute one of the three chromosomally classifiable groups of EL. Cancer 37:79&504, 1976. NCERTAINTY CONTINUES TO EXIST AS TO