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Adult T-Cell Leukemia Lymphoma. Adult T-Cell Lymphoma Leukemia (Atll) Is A Rare Lymphoproliferative Neoplasm Of Mature T Cells Caused By Infection With The T-Lymphotropic Virus Type 1 (Htlv-1). The Malignant Cells Carry A Flower-Like Or Clover-Shaped Appearance Characterized By Condensed Nuclear Chromatin And Inconspicuous Nucleoli. Peripheral Blood, Wright X1000.