9 ?PLT (x109/L) 174 Karyotype ? ? ?Normal Five 42 ?Complex A couple of 17 ?+8 One 8-10 ?Del7 1 8-10 Other irregularities Three or more Twenty-five RA?=?refractory anaemia, RARS?=?refractory anemia using ringed sideroblasts, RCMD?=?refractory cytopenia together with multilineage dysplasia, RCMD-RS?=?refractory cytopenia with multilineage dysplasia and also ringed sideroblasts, RAEB-1?=?refractory a