Doctor insights on:
Chemo Port Complications
"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
Outpatient: It is a small outpatient procedure, with actual procedure not taking more that 30 minutes. ...Read more
Any time: Most ports can be used right away. ...Read more
I need some history or where i can find the history of the chemo port. When was one first made.. Implanted who was the person that invented it please?
1968: The first "chemo ports" were the broviac and hickman catheters that were developed in 1968. They were perfected by 1973 and are known as central lines. ...Read more
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
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
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
OPSS, aka...: ...Overwhelming post-splenectomy sepsis. The spleen is a filter that removes old blood cells and certain (encapsulated) bacteria from the bloodstream. Therefore, people without a spleen are prone to certain infections (although there are vaccines for these). Chemotherapy inherently weakens the immune system's response to infection. Therefore, the 2 combined may increase infection risk. ...Read more
Shouldn't be: This was a hard one! people with suppressed immune systems from chemotherapy are at a slightly higher risk of getting tapeworm infections, which are uncommon in the U.S. Tapeworms come from eating undercooked beef or pork. If you already have tapeworms, you need medicine to get rid of them, and that will work just the same whether you are on chemotherapy or not. ...Read more
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
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
Many possible: Some are more likely than others and they depend in part on the specific treatment and physical condition but, among others: low white cells causing infection, anemia, low platelets causing bleeding, heart, liver, or kidney problems, and others. Enough to write a book. Talk to your doc about what may specifically apply to you. Best to you. ...Read more
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
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
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
Cancer Port: One of the two septa is plugged and the enzyme could not reopen it. No chemo at this time. Is this a problem of having only one septa?
And: You may have to have a new port placed. It has to be flushed regularly to keep it open. ...Read more
After having a implanted venous access port placed for chemo i now have a choking sensation, what is going on?
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
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
Friend, Pan can stage 4. No chemo for 3 months because of complications. Pain, bowel obstruction, pneumonia now. Will the cancer start growing again?
Not the issue: Stage IV pancreatic cancer has a very poor outlook with overall survival rate measured in months, not years. With complications of bowel obstruction, pneumonia, weight loss, etc., the patient should not be pursuing chemotherapy but rather hospice care. Please discuss this with his/her physician for compassionate end-of-life care. ...Read more
Is it normal to leave a breast expander in for 11 months for a breast reconstruction for a 34 b size without complications, no chemo no tissue probs?
In some cases: There are indications to leave an expander in for a longer time than usual. Especially if you are undergoing chemo or radio therapy treatments . Unless there are infections or soft tissue problems it should not cause any long term issues. This is something you need to discuss with your plastic surgeon, so as to plan your subsequent procedures. ...Read more
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
Surgical oncologist wants to keep cancer port on upper chest after chemo. Want it removed due to very bad skin nerve sensation. Options?
Need more info: A port is typically removed if the Cancer is under full control(Cancer free). if there is some doubt that you may need to reuse the port soon, then it is best left inside for 3-6 months. But if you have bad skin reaction near the port, your doctor can easily remove the port , knowing that you may need another surgery to put the port back in case your cancer requires further treatment in future ...Read more
After I finished chemo treatment 2 years ago for breast cancer, I had port removed. For the past week, I have been feeling pain where it was removed?
Scar tissue forms:
I doubt that it is anything to worry about. After surgery, there is scar formation which can sometimes become sensitive and cause discomfort. It twill likely go away on its own. You could take Tylenol if the pain is more than mild.
Try to feel for any knot under the scar. If there is anything that rolls/feels like a lump, then you need to consult your surgeon or the oncologist for examination. ...Read more