<prompt> Answer this question truthfullyCould you please rephrase this sentence? It is already in proper English.  <response>: <reason> Enteropathy-associated T-cell lymphoma is usually a fast-growing aggressive lymphoma. It is associated with celiac disease sprue. Most adults are diagnosed with celiac disease at the same time as their lymphoma or shortly before their lymphoma is diagnosed. Enteropathy-associated T-cell lymphoma may spread to the liver, spleen, lymph nodes, gallbladder, stomach, colon or skin. 