<prompt> Answer this question truthfullyWhat are the clinical features that may be observed in patients with adult T-cell leukemialymphoma, and what is the relationship between this condition and lytic bone lesions and hypercalcemia?  <response>: <reason> Adult T-cell leukemialymphoma can present with lytic punched-out bone lesions and hypercalcemia, which are some of the clinical features that may be observed in patients with this condition. There is often an association between adult T-cell leukemialymphoma and the presence of lytic bone lesions and hypercalcemia. 