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Doctor insights on: Chemo Port

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Stage 2B IDC breast cancer, her2+/ER/PR+Neoadjuvant taxol, (paclitaxel)A/C,lumpectomy,rads, lymphovascular invasion. What does this mean for prognosis & follow up?

Stage 2B IDC breast cancer, her2+/ER/PR+Neoadjuvant taxol, (paclitaxel)A/C,lumpectomy,rads, lymphovascular invasion. What does this mean for prognosis & follow up?

Prognosis fair: Stage IIb breast cancer is usually palpable at 2-5 cm. and at time of procedure to remove lesion, sentinel nodes are + suggesting axillary dissection and reason for neoadjuvant therapy. Lymphovascular invasion increases chance for recurrence. With Her2+ Herceptin (trastuzumab) with chemo should be used and PET/CAT needed to assure met foci not missed in distal organs. Carful follow up needed. ...Read more

Dr. Devon Webster
977 doctors shared insights

Chemotherapy (Definition)

The term chemotherapy typically is used to describe using chemicals to treat ...Read more


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IDC BC-HER2,PR,ER&LN positive,local skin met-LVI found AFTER CHEMO completed. TAC,lump,rads&herceptin. Recur risk?Prognosis?Avg time 2 reoccur? [email protected]

IDC BC-HER2,PR,ER&LN positive,local skin met-LVI found AFTER CHEMO completed.
TAC,lump,rads&herceptin. 
Recur risk?Prognosis?Avg time 2 reoccur? Dx@39

Speak to oncologist: This is best answered by your oncology team. If you are not being treated at a designated breast center, then I highly recommend you find one. Recurrence and prognosis are individualized and only your doctors can give you the proper information. Good luck ...Read more

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Compare and contrast chemotherapy for aml with chemo for prostate cancer?

Compare and contrast chemotherapy for aml with chemo for prostate cancer?

Different drugs. : Chemotherapy for a hematologic cancer such as AML differs in the drugs & regimens from an epithelial cancer like prostatic carcinoma. AML typically uses Cytarabine and an anthracycline on a specific schedule. In prostate cancer, docetaxel and cabazitaxel are frequently used drugs. Of note, chemotherapy is not as common a treatment for prostate cancer, where hormonal therapy is often used. ...Read more

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B breast ca, bilaterally multifocally recurrent, s/p salvage mastectomy, with no distant mets except back lesion which resolved on neoadj chemo. ?Rt?

B breast ca, bilaterally multifocally recurrent, s/p salvage mastectomy, with no distant mets except back lesion which resolved on neoadj chemo. ?Rt?

My view...protons...: In a similar case, i chose to use proton therapy. Why it is useful is that it can treat the axilla and chest wall, as well as the internal mammary nodes while sparing lung and heart. That spine/back lesion is a concern, but I have seen (it has been published) that bone met only patients if controlled can have very, very long survivals, so in my mind it is worth the work/travel. ...Read more

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Dr. Liawaty Ho Dr. Ho
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Stage 2B idc breast cancer-neoadjuvant ... Had taxol/herceptin (trastuzumab) for 16wks. Now a/c chemo.. Is it risky to be without herceptin (trastuzumab) until surgery in jan?

Dr. Liawaty Ho Dr. Ho
1 doctor agreed:
Stage 2B idc breast cancer-neoadjuvant ... Had taxol/herceptin (trastuzumab) for 16wks. Now a/c chemo.. Is it risky to be without herceptin (trastuzumab) until surgery in jan?

Should be okay: You are receiving ac now and i think (and i hope) it should take care you cancer well --to shrink it down further- so you can have surgery in january. It is not safe to combine adriamyicn and Herceptin (trastuzumab) as it could give you significant problem with your heart. Once you are done with surgery- you will need Herceptin (trastuzumab) to be continued for 1 year. ...Read more

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Ciii ovarian cancer in 06, 1212, surgery and chemo paxitaxtel/carboplatin. In remission. Recurrence treated with tamoxifen, carboplatin alone, abraxan, then topotacan to no avail. Which chemo next?

Ciii  ovarian cancer in 06, 1212, surgery and chemo paxitaxtel/carboplatin.  In remission. Recurrence treated with tamoxifen, carboplatin alone, abraxan, then topotacan to no avail. Which chemo next?

Many options: Choosing chemo depends on many factors, so only your doctor can decide what might work for you. Drugs you haven't mentioned include altretamine, capecitabine, cytoxan, (cyclophosphamide) vinorelbine, ifosfamide, etoposide, and irinotecan. There are also several hormonal agents. And a clinical trial might be an option. Check out www.Cancer.Gov for more info. And good luck. ...Read more

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Dr. Liawaty Ho Dr. Ho
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Chemo for --- ibc marginally successful. Then mastectomy, 7 lymph nodes positive. Now the surgeon wants rad, onc wants different chemo. Help!

Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
Chemo for ---  ibc marginally successful. Then mastectomy, 7 lymph nodes positive. Now the surgeon wants rad, onc wants different chemo. Help!

Yes for rad: Definitely you should get an adjuvant radiation therapy following mastectomy. As per- chemo- if you get chemo first before surgery and unfortunately the response is only marginal- that indicates that your cancer is likely is resistant to chemo.So, adding more chemo post mastetcomy doubtfully will give you any benefit. Is this er+ or er-? If this is er+- then you should get aromatase inhibitor. ...Read more

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Liver and peritoneal mets for mcrc patient . What is approx survival With chemo , oxyplatin and raltitrexed ?

Liver and peritoneal mets for mcrc patient . What is approx survival
With chemo , oxyplatin and raltitrexed ?

We can not guess: We can not tell you what the approx. survival as we do not have all the information to make a comment on the approx. survival You should discuss with your treating Oncologist There are second and third line treatments as well which may change the course ...Read more

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Chemotherapy after bladder radical cystectomy needed?

Chemotherapy after bladder radical cystectomy needed?

Perhaps: Chemotherapy following bladder cancer removed by radical cystectomy may be advised depending on the stage of the cancer. A deeply invasive cancer, or a cancer with lymph nodes involved may be treated post-operatively with chemotherapy if chemotherapy was not used preoperatively. ...Read more

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What is the single port laparoscopic surgery (spls) procedure?

What is the single port laparoscopic surgery (spls) procedure?

One incision: Single port surgery uses a special port that multiple instruments go through, unlike traditional laparoscopy where each port canfield only one instrument. Advantages of single port surgery are mostly cosmetic. ...Read more

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Pancreatic cancer, ampullary tumor. Whipple procedure. Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?

Pancreatic cancer, ampullary tumor. Whipple procedure.  Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?

Poor: While Whipple is the best approach for a primary pancreatic or ampullary lesion, the recurrence rate at 1-2 yrs is 90%. Chemo either of the FOLFIERI or Genciabine /Abraxane combo have limited effects on liver mets which in pancreas are not considered amenable to resection. There is an FDA protocol using specific monoclonals targeting pancreas that might be available but only after chemo failure ...Read more

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Chemo drugs for lung cancer ?

Chemo drugs for lung cancer
?

Yes: Depending on the stage, how advanced the disease is and what type of lung cancer it is, chemotherapy can play a major role in treatment of lung cancer. ...Read more

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Dr. Liawaty Ho Dr. Ho
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How effective iressa (gefitinib) for lung cancer after chemo?

Dr. Liawaty Ho Dr. Ho
5 doctors agreed:
How effective iressa (gefitinib) for  lung cancer after chemo?

Only if ..: Gefitinib will only work if there is a egfr mutation detected on the cancer. It will not be effective if there is no egfr mutation detected. ...Read more

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Hepatocellular carcinoma.All spleen and partial liver resection.Later,secondary systemic cancer metastasis.any targeted therapy or immunotherapy?

Hepatocellular carcinoma.All spleen and partial liver resection.Later,secondary systemic cancer metastasis.any targeted therapy or immunotherapy?

Yes, for both: Hepatocellular Carcinoma is commonly treated with Sorafenib which is a type of targeted therapy. This is a good choice of treatment in case you have not yet received this drug. Immunotherapy using PD-1 inhibitors has also shown some modest evidence of benefit although it is not yet FDA approved for this indication. Ask your oncologist to guide your treatment further. ...Read more

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Colon cancer chemo necessary?

Colon cancer chemo necessary?

Depends on stage: Chemotherapy is never used for stage 1 cancers (early). It is sometimes used in stage 2 cancers (early but more advanced than stage 1). Chemotherapy is definitely beneficial in stage 3 cancers (locally advanced) and in stage 4 cancers (distant spread). ...Read more

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My father had hodgkins chemo killed original cancer but whilst having chemo non hodgkin's grew chemo didnt work now spread brain lung how much time?

My father had hodgkins chemo killed original cancer but whilst having chemo non hodgkin's grew chemo didnt work now spread brain lung how much time?

Be prepared: Advancing lymphoma that is not responsive to treatment usually means a relatively short life span remains, so it is best to prepare and enjoy the present with your loved one. Occasionally, clinical trials of newer drugs may be available for people who have failed conventional treatments, but these are "last ditch" attempts and may not increase survival much, but do help us to learn for future pts. ...Read more

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Omental cancer following ovarian ca 7yrs ago w/o chemo or radiation?

Omental cancer following ovarian ca 7yrs ago w/o chemo or radiation?

Your question?: Hi. From what you've told us, I assume you're wondering if the cancer in the omentum is recurrence of the ovarian cancer 7 years ago. First of all, I'm so sorry for your situation. A pathologist will be able to tell you if the omental cancer is ovarian in origin. The best guess (and guessing doesn't count) would be ovarian, however. When the surgical pathology comes back, chemo will be planned. ...Read more

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If chemotherapy fails what options lfd metastic colon cancer? Mets to liver , peritoneal , lymph node ?

If chemotherapy fails what options lfd metastic colon cancer? Mets to liver , peritoneal , lymph node ?

Experimental therapy: Some cancer centers do research on patients with aggressive cancers or cancers who do not respond to usual treatment. Although after chemotherapy, there are not very many options and people would like to keep patients as comfortable as possible. Hope it is helpful. ...Read more

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Should stage 1 breast cancer patients with no lymph node involvement generally receive chemo?

Should stage 1 breast cancer patients with no lymph node involvement generally receive chemo?

Sometimes: While the prognosis for stage 1 breast cancer is excellent, many women may benefit from traditional chemotherapy. This is dependent on the age of the patient, whether the tumor is hormone-sensitive, if the her2/neu receptor is overexpressed, and, in select cases, what the oncotype-dx score is. While "negative" lymph nodes are very encouraging, some breast cancers may travel via the bloodstream. ...Read more

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Please tell me how long it takes for to get a chemo port installed?

Outpatient: It is a small outpatient procedure, with actual procedure not taking more that 30 minutes. ...Read more

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Tomorrow--Chemo port placement: Can I ask the MD to put in into the upper arm (never knew it is an option til went online today)?

Chemoport location: Sure, ask your doctor about any aspect of your procedure. They should explain their reason for their location selection so you understand why it was selected. You should be comfortable with them and trust them, and they should be able to reassure you without hesitation. ...Read more

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I have a blood clot in my right atrium attached to the catheter on my chemo port.Have had multiple TEEs. Is MRI a better way to tell what it really is?

I have a blood clot in my right atrium attached to the catheter on my chemo port.Have had multiple TEEs. Is MRI a better way to tell what it really is?

No. Ultrasound.: In all likelihood, the MRI won't reveal any more information than what ultrasound has already determined (TEE is a type of echocardiogram or ultrasound of the chest). TEE checks for migration (movement) of the clot & it's size. An MRI is an expensive way to do that; TEE is "as-good". If you're being treated w/ blood thinners, stay the course for 6 mo as clots can take long time to shrink. Patience ...Read more

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I'd like to get a tatoo. But i form keloids. I have one on my chest from my chemo port insertion and one on my neck from thyroid surgery.

I'd like to get a tatoo. But i form keloids. I have one on my chest from my chemo port insertion and one on my neck from thyroid surgery.

You should get: a small trial one in an inconspicuous area, to make sure that you don't form keloids with tatoo. Keloids form more commonly in areas where skin is close to bone, without any subcutaneous tissue, such as over the sternum. ...Read more

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Can I start chemo immediately after port insertion?

Yes, you can: Your surgeon will give you an OK to use the port. They like to do an X-ray to verify that the port catheter is placed in the right location. Once this is verified (same day after insertion of port) your oncologist will likely go ahead and start using it. ...Read more

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What is a port for chemo?

What is a port for chemo?

"ports" are: Accessible devices under the skin that allow puncture and direct line to the venous system. It prevents multiple sticks and extravasation of caustic chemo outside veins. When chemo is completed, it should be removed. ...Read more

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Can you tell me if throughout chemo someone has a port in their arm, if they take the port out does that mean the cancer hasgone away?

Not exactly: An Oncologist will not generally recommend port removal when someone has final stages of cancer because the assumption is that that person will be on treatment off and on for the rest of his/her life. A port is removed very routinely after early stage cancer because the person may very well be cured. So it depends on the situation but in general it sounds like this person is considered curable. ...Read more

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Am having 1st chemo treatment and staying 1 overnight in hospital. Does this mean I'll have chemo entering body (have port) for 24 hours?

Am having 1st chemo treatment and staying 1 overnight in hospital. Does this mean I'll have chemo entering body (have port) for 24 hours?

Time deliver chemo: Most pts who go into the hospital for chemo are having fluids and medication given prior to the actual chemo. You may getting more than one kind of drug and they all require different times to administer. Your more than likely will be sitting around waiting for things to happen! Bring a book and a blanket and don't forget your power cords. ...Read more

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Do i need a port for chemo if I have a cancerous brain tumor?

Depends on chemo...: Many types of brain tumors are treated with chemotherapy that needs to be administered by an intravenous route. Depending on the chemotherapy regimen to be given, a port can be the preferred (and safest) route. Even for those chemotherapies that can be given by a peripheral iv, if it is too difficult to start an IV on someone, a port is sometimes needed. Work with your oncologist about this issue. ...Read more

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I had an allergic reaction from steri strips after my port for chemo was put in. Strips are removed, but there are still blisters. What should I do?

I had an allergic reaction from steri strips after my port for chemo was put in. Strips are removed, but there are still blisters. What should I do?

Steristrip blisters: The blisters on your skin are a protective reaction of your body to the foreign substance encountered and are helping to prevent further injury to irritated tissue beneath them. Please protect the area from further irritation but nothing further is needed for now as the reaction seems localized to just the area affected by the steristrips. ...Read more

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I recently had chemo and the adminstratives noticed that it was leaking under my bandage where my port was.

Let doc know: Please let your treating oncologist know. While it may not be serious, knowing that the port is functional is critical in the long run. ...Read more

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How often should a power port be flushed once finished with herceptin (trastuzumab) and chemo? Why does it need flushed?

Monthly: Standard protocol has been to flush ports at least monthly. Maintaining ports is important to prevent clots, and to keep ports usable for later chemo if needed. ...Read more

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What to do if I have a chest port,and the last 3 times,they were not able to get blood from it,but I take chemo through it,?

Clot at tip: A port is a device to give repeated chemo thru. It has a chamber under the skin and a catheter extending into a major vein. At times a clot forms at the tip of the catheter which acts as a valve. injecting the port pushes the clot away to allow chemo to be delivered but aspiration pulls the clot against the opening preventing blood from being drawn. The port should be flushed with heparin. ...Read more

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My son is active in sports and has to have chemo to treat lch (histiocytosis) would a port be necessary?

Factors to consider: The insertion and tedious care needed for maintenance of a port are a consideration based on multiple factors. The frequency of treatments, nature of the meds to be used, the duration of treatments, availability of sites etc. If a patient has good natural access points ( veins) and a central vein is not needed due to the nature of the meds, no port may be needed. Discuss your options with the doc. ...Read more

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Do most cancer patients who receive chemotherapy have a port installed into their chest? I know this is a way to deliver chemo drugs into body.

Yes for Venous Acces: Most chemo is given via the veins of your arms but it can cause quite a bit of burning pain. Moreover the veins tend to close down(thrombosed) ,so you would soon run out of the veins of your arms.
In order to avoid this problem oncologists like to use a long catheter(PICC line) or insert a Port(which is a surgical procedure).So there are 3 ways to access the veins...your oncologist should explain. ...Read more

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After having a implanted venous access port placed for chemo i now have a choking sensation, what is going on?

After having a implanted venous access port placed for chemo i now have a choking sensation, what is going on?

Where is port?: If the port isn't in a neck vein and that would be unusual it might be more related to the chemo drugs or radiation if you had that. The catheter likely isn't anywhere near something that could trigger a choke, but strange things happen sometimes. ...Read more