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©2013 UpToDate ® Print Email Circulating tumor cells in adult T-cell leukemia/lymphoma ("flower cells") This peripheral blood smear shows a number of lymphoid cells with hyperlobulated nuclei, often called "flower cells." From Warnke, RA, Weiss, LM, Chan, JK, Cleary, ML, Dorfman, RF. Tumors of the lymph nodes and spleen. Atlas of tumor pathology (electronic fascicle), Third series, fascicle 14, 1995, Washington, DC. Armed Forces Institute of Pathology.