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an acute or subacute disease associated with a human T-cell virus, with lymphadenopathy, hepatosplenomegaly, skin lesions, peripheral blood involvement, and hypercalcemia. Complete remission lasting 5 months after treatment with CPT-11, irinotecan hydrochloride, an inhibitor of topoisomerase I was reported in a patient with ATLL lymphoma unresponsive to intensified chemotherapy

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It's common of a patient to feel tired or weak for a while.

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