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