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#73762 04-27-2008 06:18 PM
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I asked the oncologist if he was going to give me a port for chemo therapy. He said it depends on how many doses he gives, and how my veins are. I read elsewhere that one should always get a port to save the veins.

Have any of you had chemo with no port and no problems.

btw, the drug he mentioned is Carboplatin


Squamous cell carcinoma base of tongue. Lymph involvement unclear; staging placed at "2 or 3." Biopsy 4/18/2008. Treatment: IMRT every day for 7 weeks. Cisplaten once a week to sensitize cancer to radiation. Treatment ended 7/16/08. PET/CT shows no more cancer.
Andrew111 #73767 04-27-2008 10:21 PM
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I'm getting ready to start chemo in a week or so and I'm interested in the responses you'll get. I know plenty that did Chemo without a port but they had really good veins.
Minnie


SCC Left Mandible. Jaw replaced with bone from leg. Neck disection, 37 radiation treatments. Recurrence 8-28-07, stage 2, tongue. One third of tongue removed 10-4-07. 5-23-08 chemo started for tumor behind swallowing passage, Our good friend and much loved OCF member Minnie has been lost to the disease (RIP 10-29-08). We will all miss her greatly.
minniea #73773 04-28-2008 12:44 AM
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I have really good veins. I didnt want to get a port but my doctors and nurses convinced me to get one. What I was told is that chemo can mess up even good veins so its easier on the patient to have a port. During my chemo sessions I would say at max. only about 25% there getting chemo had a port. My veins still look good after having chemo, I dont see any difference at all with using the port. But maybe thats the whole point of the port.


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
ChristineB #73775 04-28-2008 01:06 AM
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That IS the whole point. Chemo is hard enough as it is without worrying about them finding a good vein every time and veins do blow out over time. I have tiny little veins that roll and every time I have to get stuck for an IV it is difficult. for the nurse to find and often takes more than one try. I didn't have to worry about any of that when I had my port and was getting chemo.
There are really no downsides to a port that I can see except that, like other surgical sites, there is some risk of infection. I had surgery with general anesthesia when they put it in but taking it out only required local.

Nelie


SCC(T2N0M0) part.glossectomy & neck dissect 2/9/05 & 2/25/05.33 IMRT(66 Gy),2 Cisplatin ended 06/03/05.Stage I breast cancer treated 2/05-11/05.Surgery to remove esophageal stricture 07/06, still having dilatations to keep esophagus open.Dysphagia. "When you're going through hell, keep going"
Nelie #73778 04-28-2008 01:37 AM
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Andrew- my husband has a port and it has been wonderful. There is little pain involved and since he's had several rounds of chemo it was a good idea. They also take his blood samples from it. Good Luck!
Sue











cg to husband, 48 Stage 1V head and neck SCC. First surgery 9/07. Radiation and several rounds of chemo followed. Mets to chest and lungs. "Life isn't about waiting for the storm to pass, it's about learning to dance in the rain." Went home to God on February 22, 2009.
suemarie #73782 04-28-2008 01:58 AM
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I will tell you this. My veins are great. All the nurses love them. They are like road maps. But even with that, the doctor told me that the veins can still blow after being stuck so many times. Now, I am very skinny, I hate the port, but.... tis better than a chance on blowing vien. My Doc also said, that if the IV is not in right, the chemo meds could leak onto the skin and burn. I was not wanting the port, but after hearing all he had to say, I was talked into it. It has advantages for sure. Just because I am skinny, I feel it all the time. THAT is what I do not like.


Stage 4A SSC Left Tonsil, back of tongue and Lymph nodes on left side. Tonsil removed, Chemo and Radiation treatments completed on June 26, 2008.
johnny47 #73784 04-28-2008 02:27 AM
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I started with a pic line and graduated to a port and I will tell you I would recommend it to anyone. I had the three rounds of chemo and all of my fluids pumped in through it. It was not a big deal for me getting it implanted and I still have it.

Something to seriously consider !

Kevin


18 YEAR SURVIVOR
SCC Tongue (T3N0M0) diag 06/2006.
No evidence of disease 2010
Another PET 12-2014 pre-HBO, still N.E.D.


�Remember to look up at the stars and not down at your feet. It matters that you don't just give up.�
Stephen Hawking
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My Bill thinks it ( along with the PEG) was the best decision we made regarding treatment. It just made life easier during a very stressful period. We were happy to have it numerous times...chemo, blood tests, hospitalizations. During chemo days, sometimes 6-7 hours long...having the port frees up your arms and hands and remember, you usually have to have blood tests prior to each chemo..one stick and its all taken care of. We were given numbing cream to apply at least 1/2 hour before any "stick" and that made the whole process pain free.

Deb


Deb..caregiver to husband, age 63 at diagnosis, former smoker who quit in 1997.
DIAGNOSIS: 6/26/07 SCC right tonsil/BOT T4N0M0
TREATMENT START: 8/9/07 cisplatin/taxol X 7..IMRT twice daily X 31.5.
TREATMENT END: 10/1/07
PEG OUT: 1/08
PORT OUT: 4/09
FOLLOWUP: Now only annual exams. ALL CLEAR!

Passed away 1/7/17 RIP Bill
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I didn't get a port (docs didn't push that hard either) but it's the one thing looking back I wish I had done. There were many times I was stuck; chemo 3x and blood work and IV's a zillion times. Sometimes the first person failed and had to get the "super sticker". None of these sticking experiences were fun and I wasted a lot of my time that could have been saved by the port. Now, with that said, I do not know any of the negative issues with ports, like maintenance, etc because as I said I never had one.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
davidcpa #73790 04-28-2008 04:14 AM
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I had a port and it made things a hell of lot easier. There was never an issue with getting set up for chemo and/or blood work (one less thing to worry about). You hardly feel the prick and if you numb the area even that is gone. As far as maintenance is concerned, they will flush it out every time they use it and that should be all that is required. (assuming you do this weekly). I got chemo weekly as opposed for 3 times. If you have good veins and you are only getting a few chemo tx you might get away without it. Of course that assumes that everything is going fine and that you do not need extra infusions such as hydration... all of which are a snap with the port.
BTW removal is also not a big deal (10 minutes).

Markus



Partial glossectomy (25%) anterior tongue. 4/6/07/. IMRT start @5/24/07 (3x) Erbitux start/end@ 5/24/07. IMRT wider field (30x) start 6/5/07. Weekly cisplatin (2x30mg/m2), then weekly carbo- (5x180mg/m2). End of Tx 19 July 07.
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