Insuffisance surrénalienne par envahissement métastatique: importance capitale des explorations dynamiques

Abstract Adrenal involvement is frequent in metastatic carcinomas. However, only a few cases of adrenal insufficiency is reported in literature. Clinical symptoms, biology and Cortisol, Aldosterone plasma assays can fail to prove the diagnosis. So, dynamic function test, especially Cosyntropin test, is necessary as soon as bilateral adrenal enlargement is visualised on CT Scan in case of metastatic neoplasm.