Adult T-Cell Leukemia/Lymphoma

  • Luis Malpica Castillo
  • Christopher DittusEmail author


Adult T-cell leukemia/lymphoma (ATLL) is a peripheral T-cell neoplasm caused by the human T-cell leukemia virus type I (HTLV-1). High prevalence of HTLV-1 infection is found in southwestern Japan, the Caribbean Basin, Central and South America, and western Africa. South Florida, New York, and Massachusetts are the continental US regions with the highest concentration of Caribbean immigrants; therefore ATLL cases are commonly encountered there. ATLL has a poor long-term prognosis. High-dose zidovudine with interferon-α is an effective frontline option for indolent ATLL. Chemotherapy should be used in aggressive ATLL followed by allogeneic stem cell transplantation when feasible.


T-cell neoplasm T-cell leukemia HTLV-1 Rare cancer T-cell lymphoma Aggressive lymphoma ATLL Hypercalcemia 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Division of Hematology and OncologyUniversity of North Carolina at Chapel HillChapel HillUSA
  2. 2.Department of Medicine, Division of Hematology and OncologyUniversity of North Carolina at Chapel HillChapel HillUSA

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