Hairy cell leukemia (HCL) and multiple myeloma (MM) are well-described
disease entities with characteristic clinical and pathologic features
. We describe two patients initially treated for MM in whom atypical c
linical and morphologic features subsequently developed that raised th
e possibility of HCL. Although the cytologic appearance and immunophen
otype were not diagnostic of HCL, these cases challenge the criteria u
sed to diagnose MM, HCL, and ether recently described villous neoplasm
s.