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Adult T-cell leukemia/lymphoma (ATLL) is a rare and distinct type of T-cell lymphoproliferative disorder mainly associated with human T lymphotropic virus type-l (HTLV-1) infection.1,2 Clinically,there are 4 types of ATLL, namely acute, lymphoma, chronic and smouldering types.1,2 There has been no effective therapy up to now.