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A 61 year old African Caribbean man with sickle cell trait was admitted in June 1999 with subacute small bowel obstruction and intraabdominal lymphadenopathy, found to be caused by an HTLV1 associated high grade T cell non-Hodgkin lymphoma. He received six cycles of CHOP (cyclophosphamide, hydroxydaunorubicin, Oncovin (vincristine), and prednisolone) chemotherapy. He …
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