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Old 09-09-2008, 03:54 PM   #1
BonnieR
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Port removal reassurance needed!

Hi all. I am needing reassurance about having my port removed. I finished my Herceptin in July. Only would need the port now for routine lab work every 3 months, hopefully. Although I had bilat mast, I only have minor lymphedema symptoms on one side. So would use the other arm for blood work.
The port is in a terrible location. Everyone at the treatment center comments on it. I cannot even wear certain clothes or underwear with thin straps because of where it is situated they irritate it. (But the surgeon said if I ever needed another, it would probably have to be in the same place.) Anyway, my onc saw me today and told my surgeon she was good with having it taken out. So, they just phoned and want to remove it tomorrow morning!!!!. An in-office proceedure. Now I am feeling indecisive! But I don't know why I would keep it "just in case".
Thanks in advance....
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Bonnie

Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 09-09-2008, 05:00 PM   #2
Henny
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Hi Bonnie, I also finished Herceptin in July. I was anxious to get the port out and finally did a month ago. It was like having my binkie taken away-what if I needed it again? I kept telling myself that getting it out would help me put this phase behind me and wouldn't have the constant reminder of the pain (lifesaving of course) that went through the port.
So now a month out, I feel great-just a little lingering around the site-psychologically it is very liberating. If I ever need it again, I'll have another popped in.
Good luck tomorrow

Henny
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Dx 3/07 IDC and DCIS Her2+ ER- PR-
Stage IIb 1/15 nodes
A/C, Taxol, Herceptin
Bilateral mastectomies with recon
Zometa 2/yr for 3 yrs- finished 8/2011
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Old 09-09-2008, 05:07 PM   #3
AbbyDawg
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Hi Bonnie!

I'm all for the, "Out! Out! D@mn Port!" approach with no worries IF the need for one would come again.

I had mine pulled immediately because it was like a lobster claw in me from Day 1. (I had bilat too). To me it was the worst thing about chemo.

I just think some ports go in and become a natural part of you with no trouble or else they become a foreign body irritant. And I think it's a coin toss ... random. I am hoping if I need one again, they'll just have better luck with it. But putting up with a bad one isn't vital.

If I ever need a port for general labs, I will ask for a PIC line. It is a semi-permanent one/partially exposed in the elbow. I wore one for 2 years in order to have daily antibiotic IVs for Lyme.

But ... this was also BC BC (before breast cancer) and having to be cautious of things like lymphedema in my arms.

Just a thought from one whose port was a pest.

AbbyDawg
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Old 09-09-2008, 06:01 PM   #4
Patb
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Its good to let it go if your treatment is over. I did
it in the Dr. office with no problem. It can become
infected and you would have to have it flushed so I
let mine go. Its just one of the things we get attached
too and it is so easy to use and saves the veins.
patb
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Diagnosed June, 06, Stage I, Grade3, ER+PR- Her2positive, No Nodes. A/C X 4. Radiation 33 with boost, Herceptin every two weeks until Nov.
07, Arimedex for 5 years. Mugas and Echo and chest xRay. Bone scan of whole Body, and Back of Brain and spine MRI.
CT scan of Lungs every six months
due to two small places. December
2009, bone scan due to bone pain.
Follow up test in 2010.
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Old 09-09-2008, 07:28 PM   #5
Bill
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Bonnie, if it makes you feel better, take it out. It sounds like a simple procedure for you, and, to be quite honest, God forbid, if you ever need one again, it's fairly simple to get another one. (I just re-read this last sentence. I didn't mean to sound flippant, but I only meant in the context of other surgeries) Please let us know how it goes tomorrow.
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Old 09-09-2008, 07:40 PM   #6
Gerri
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Hi Bonnie,

My port never gave me any trouble but I was more than happy to have it removed a few months after completing Herceptin. It was a simple procedure and was done in less than 20 minutes. I do have trouble with blood draws because the veins in my usuable arm are shot, but I don't regret having my port removed.
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Dx: 11/23/05, Lumpectomy 12/12/05
Tumor 2.2 cm, Stage II, Grade 3, Sentinel Node biopsy negative
ER+ (30%) /PR+ (50%), HER2+++
AC X 4 dose dense, Taxol X 4 dose dense
Herceptin started with 2nd Taxol, given weekly until chemo done
then given every 3 weeks for one year ending on March 16, 2007
Radiation 30 treatments
Tamoxifen - 2 yrs (pre-menopausal)
May 2008 - Feb 2012 Femara
Aug 2008 - Feb 2012 Zometa every 6 months
March 2012 - Stop Femara, now Evista for bone strengthening
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Enjoy the little things, for one day you may look
back and realize they were the big things.
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Old 09-09-2008, 08:50 PM   #7
Catherine
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Yes, it is easy to have your port removed. I had mine out after a year of Herceptin. Easily done in the office with a few stiches. Did not even really hurt. I have sort of an ugly scar, but I am glad it is gone. Hoping, I never need another one. I am lucky that I have good veins on my good arm. I hope it goes smoothly for you. I think you will be glad it is gone, I am glad mine is gone.

Good luck, Catherine
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Found my own lump in the shower
April 2006 at the age of 58
Stage IIB, ER- PR- HER2+++ multi focal tumors, largest 2.3cm
Chemo first: AC/Taxol over 16 weeks
Bilateral mastectomy Sep 06
33 rads after the surgery
1 year of Herceptin completed Dec 07
15 years and no recurrence as of April 2021
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Old 09-09-2008, 09:46 PM   #8
BonnieR
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Thanks everyone, I appreciate the feed back. I just needed some hand-holding. Tomorrow it goes.
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Bonnie

Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 09-10-2008, 02:31 AM   #9
madubois63
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First off - you should not be using the lymphodema arm for blood work!! Take care of that arm!!! I am all for having the port out if it isn't needed. You can have a port placed on either side in the future if need be (hopefully not). They use a CAT scan to find the best placement. I've had 3 on the right side and 1 one the left side. I've also had 2 catheters, 1 pick line and 1 central line, so I think I know a little about this. You may be sore for a day or 2, but this is one of the easiest cancer related problems you can have. Good luck and be happy with your decision. This will not jinx you in any way.
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Stage IV Inflammatory BC 1/00
Mod Rad Mastectomy 24nod/5+
Adriomycin Cytoxin Taxol
Tamoxifen 4 1/2 yrs
Radiation - 32 x
Metastatic BC lung/liver 10/04
thorocentesis 2x - pleurodesis
Herceptin Taxatiere Carbo
Femera/Lupron
BC NED 4/05
chemo induced Acute Myeloid Leukemia 5/06
Induction/consolidation chemo
bone marrow transplant - 11/3/06
Severe Host vs Graft Disease of liver
BC mets to lung 11/07
Fasoladex Herceptin Zometa Xeloda
GVHD/Iron overload to liver
Avascular Necrosis/morphine pump 10/10
metastatic brain tumor
steriotactic radiosurgery
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Old 09-10-2008, 08:19 AM   #10
BonnieR
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Maryann, I bow to your voince of experience. Thanks.
Everyone here has been much more encouraging than the staffer from the surgeon's office who said, when calling to arrange the appointment for port removal, that the process of having it removed in the office sounded "creepy" to her!! Really inspires confidence! Just hoping the surgeon does not feel that way herself! lol
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Bonnie

Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 09-10-2008, 08:52 AM   #11
Becky
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Out, out, out Bonnie. You don't need it anymore. What's more - you will have to keep having it flushed when not in use besides. It will be alright and you'll love being able to wear whatever you want (or don't want)
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Kind regards

Becky

Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia

NED 18 years!

Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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Old 09-10-2008, 09:16 AM   #12
AlaskaAngel
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Wink ports

Hi Bonnie,

I kept mine and still have it, but I have had BIG draws every 4 months as part of a trial to develop better markers for breast cancer and ovarian cancer. It hasn't been a problem and isn't inconvenient like yours is and in fact I rarely remember mine is there. But the last draw I had was difficult for the first time, and I may be having it removed. The flushes are an extra cost I don't need. I kept it originally because I have never had Herceptin and thought I might. Go get it out and then celebrate!

A.A.
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Old 09-10-2008, 12:08 PM   #13
BonnieR
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Okay, I have been "de-ported" as my husband says! It went well an already feels good not to have that protrusion. Thanks everyone for the support!
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Bonnie

Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 09-10-2008, 12:45 PM   #14
Chelee
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Bonnie, I remember how difficult it was for me to have my port removed...even with my onc, surgeon and 2nd opinion onc all recommending I have it removed. I was surprised they all told me to have it out that soon after finishing my herceptin, especially being stage III with pos nodes?

But it was great once I decided to have it removed...no more trips to have it flushed. Plus it was much more freeing then I thought possible. Believe me...you will be so glad you did this. So congratulations on yet another step of moving forward. Its nice to hear you have offically been "de-ported". Love that!

Chelee
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DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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Old 09-11-2008, 04:55 PM   #15
juanita
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Glad things went good!
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dxd 9-04, lumpectomy,
st 1, gr 3, er,pr-, her2 +,
2 tac,33 rads,6 cmf
1 yr herceptin,
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