<prompt> Answer this question truthfullyWhat are some of the clinical signs that may be observed in patients with adult T-cell leukemialymphoma, and how are lytic bone lesions and hypercalcemia related to this condition?  <response>: <reason> Adult T-cell leukemialymphoma may present with lytic punched-out bone lesions and hypercalcemia, which are some of the clinical signs that may be observed in patients with this condition. 