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Objective:To review major chromosome translocation, with special regard to the clinical differences between balanced and unbalanced, as well as de novo and inherited cases.Methods:The authors have included cases of major chromosome translocations detected during a20-year period.Among the28 cases,25 patients carried balanced and3 were affected by unbalanced translocations.Results:In cases of balanced translocation, matal age ranged between26 and42 years, with a median age value of(30.5±2.67) years, while in unbalanced translocations the values were between24-37 with a median age of(30.5±4.59) years.In three cases(13%) of balanced translocations in the patient’s history previous chromosomal aberrations had been recorded.In nine cases of the same group(39%) previous miscarriages were reported.In cases in which balanced translocation was suspected, karyotyping was done in the16th-23rdgestational weeks.In three cases of unbalanced translocation, karyotyping was performed in weeks18 or19. Among the28 cases examined by us,12 carried reciprocal and16 were affected byRobertsonian translocations.If the involvement of chromosomes in balanced translocations was conced, chromosome14was found to be overwhelmingly affected.In14 of the25 cases(56%) examined by us, this chromosome was definitely affected by translocation.Frequently occurring translocations in chromosomes1,13 and22 are also worth mentioning.Conclusions:Ultrasonography performed after karyotyping-in the cases of balanced translocations-and the results of fetal echocardiography-if such imaging was done at all-provide important information about the prognosis of the fetus.In case of sonographically normal fetal anatomy the good outcome of pregnancy is probable, while in cases of unbalanced translocations the sonography reconfirms the chances of poor outcome.