Stuart Factor (Factor X) Deficiency Associated with Renal and Adrenal Cortical Insufficiency

OCCURRENCE O F MULTIPLE pr imary mal ignant neoplasms is rare (1-3). A dil igent search of the l i terature has failed to reveal the asso-ciation of renal and adrenal cortical carcinoma. A case with such association is presented. I n addi t ion, the pa t ien t exhibi ted a mild defi-ciency of Stuart factor (Factor X), which disap-peared after removal of the tumors. C A S E R E P O R T Mrs. V. H., a 54-year-old white woman, was first seen because of microscopic hematuria and pyuria detected in a routine urinalysis during the course of an upper respiratory infection. The patient had been treated for duodenal ulcer 2 years pre-viously. There had been loss of a few pounds of weight during the previous year. Abdominal pal-