title: [Therapeutic strategy in metastatic renal cancer].
abstract: Prognostic factors have been described in metastatic renal cell cancer: performance status, weight loss, elevated erythrocyte sedimentation rate, presence of liver metastases. The treatment for a patient with good prognosis consists of: surgical exeresis of solitary metastasis, immunotherapy by either interferon or interleukin 2. Treatment in case of a rom prognosis is a combination of supportive care, orthopedic surgery for pathologic fracture or medullar compression, antalgic radiotherapy, embolization, nephrectomy for hematuria, and analgesic treatments.
authors.affiliation: Département de Médecine, Institut Gustave-Roussy, Villejuif.
authors.forename: J P
authors.initials: JP
authors.lastname: Droz
authors.forename: A
authors.initials: A
authors.lastname: Kramar
authors.forename: P
authors.initials: P
authors.lastname: Wibault
authors.forename: J J
authors.initials: JJ
authors.lastname: Perrin
authors.forename: A
authors.initials: A
authors.lastname: Roche
authors.forename: B
authors.initials: B
authors.lastname: Escudier
authors.forename: G
authors.initials: G
authors.lastname: Missenard
authors.forename: B H
authors.initials: BH
authors.lastname: Court
mesh_terms: D001799:Blood Sedimentation; D001932:Brain Neoplasms / Q000556:secondary; D003663:Decision Trees; D006801:Humans; D007167:Immunotherapy / Q000379:methods; D007680:Kidney Neoplasms / Q000473:pathology / Q000628:therapy*; D008113:Liver Neoplasms / Q000556:secondary; D008175:Lung Neoplasms / Q000556:secondary; D009362:Neoplasm Metastasis; D009392:Nephrectomy; D011379:Prognosis; D015431:Weight Loss
vernacular_title: Stratégie thérapeutique dans le cancer du rein métastatique.