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Vignesh Packiam: I am generally aggressive in promoting bladder sparing for NMIBC
Vignesh Packiam/X
Apr 23, 2025, 10:35

Vignesh Packiam: I am generally aggressive in promoting bladder sparing for NMIBC

Vignesh Packiam, Associate Professor at Rutgers Cancer Institute of New Jersey, shared a post by Sia Daneshmand, Urologic Oncology Fellowship Director at University of Southern California, adding:
“LVI is tough. With our improved management and therapies I am generally aggressive in promoting bladder sparing for NMIBC – but this gives pause: T1 with LVI had higher node positivity rates than MIBC without LVI, at least in NCDB 2004-2014.”
Vignesh Packiam
Quoting Sia Daneshmand‘s post:
“Couldn’t agree more. Leilei Xia found similar results in updated cohort 2010-2018 cT1 + LVI compared to T2 w/o LVI associated with significantly worse OS HR 1.63.”
Authors: Ryan P Werntz, Zachary L Smith, Vignesh T Packiam, Norm Smith, Gary D Steinberg
Vignesh Packiam
cancer Gary D Steinberg Norm Smith OncoDaily Oncology Ryan P Werntz Sia Daneshmand Vignesh Packiam Vignesh T. Packiam Zachary L Smith
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