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Pathology Hematology 3a1f9c68

Neoplastic cells with multilobulated nuclei ('clover leaf' or flower cells) are seen in which of the following?

A
Diffuse large B cell lymphoma (DLBCL)
B
Adult T-cell leukemia (ATLL)
C
Anaplastic large cell lymphoma (ALCL)
D
Mycosis fungoides
High-Yield Explanation
Adult T-Cell Leukemia/Lymphoma(ATLL): This neoplasm of CD4+ T cells is only observed in adults infected by human T-cell leukemia Virus type 1 (HTLV-1). Common findings include skin lesions, generalized lymphadenopathy, hepatosplenomegaly, peripheral blood lymphocytosis, and hypercalcemia. Tumor cells with multilobated nuclei ("cloverleaf" or "flower" cells) are seen.

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