Summary. The aberrant expression of the myelomonocytic antigen CD14 was investigated in 128 untreated patients diagnosed with B-cell chronic lymphocytic leukaemia (B-CLL). A cut-off value of 5´10 9 /l CD14-positive cells was chosen for statistical analysis because it showed the best discriminating power among patients with different clinical features. 56 cases had a CD14 cell count >5´10 9 /l. A signi®cant correlation was found between Rai and Binet stages and total tumour mass (TTM) score on one hand, and the absolute CD14 cell cut-off, on the other. This relationship was more evident in Rai 0±II and Binet A±B stages, where a CD14 cell count >5´10 9 /l was preferentially distributed among patients with a higher tumoral mass. In univariate analysis the survival probability at 5 and 10 years showed a signi®cant correlation with Rai and Binet stages, TTM score, CD14 absolute cell count and median age. The median overall survival (OS) was 63 months for patients with a CD14 cell count >5´10 9 /l and 136 months for those with a CD14 cell count < 5´10 9 /l. In the multivariate Cox regression model, Rai stage, age and CD14 cell count were independent signi®cant factors for the prediction of OS. Finally, when the same analysis was restricted to Rai stages 0±II, CD14 cell count was the only signi®cant independent parameter in¯uencing OS, with a relative death risk of 3´8. In conclusion, these data reveal that CD14represents an important marker for predicting OS in B-CLL patients and, therefore, we suggest that it should be included in the immunological characterization of B-CLL.