What is you opinion about such situation:

Male, 63 y.o. Left kidney cancer.

In the upper pole there is a tumor 8x6x6 cm with invasion into the perirenal fat (sarcomatoid CCRCC, Fuhrman G-4). Separetely from the primary tumor there are several tumor nodules in the perirenal fat. Vessels, adrenal, perihilar fat, hilar lymph nodes - without tumor growth.

How shoud we stage it? Are these separate tumor nodules pN1? Or they fall into pT3a?

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