[Management of carcinoma of the kidney with metastasis (author's transl)].

The discovery of pulmonary metastasis is not a contraindication to operation. In the light of 21 personal cases and a review of the literature, the authors give their arguments in favour of surgery. No pronostic criterion is certain except for two facts: 1) the course is capricious; 2) spontaneous remissions do not occur. The results of surgery alone do not seem to be influenced by radiotherapy nor chemotherapy.