<prompt> Management of RCC less than 4 cm in size:Radical nephrectomyPaial nephrectomyChemotherapySurgery followed by chemotherapy  <response>: Indications of Paial nephrectomyNephron sparing surgery For stage T1a RCC size up to 4cm also for most of patients with T1b 4-7 cm RCC in solitary kidney Bilateral RCC RCC with diseased contralateral kidney like Renal aery stenosis 