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retrovirus-associated adult t-cell leukemia-lymphoma: an epidemiologic study of five cases among hawaii-born offspring of migrant japanese.adult t-cell leukemia-lymphoma (atll) is a distinct clinicopathologic entity etiologically linked to htlv-i infection. we have identified five cases of retrovirus-associated atll among hawaii-born first generation offspring (nisei) of migrant japanese. four patients were offspring of migrant japanese (issei) who emigrated to hawaii from okinawa, an htlv-i endemic area. the fifth patient was born of parents who emigrated to hawaii from fukushima and miyagi prefectures, htlv-i nonendemic areas. ep ...19892921010
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