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Old 08-21-2010, 07:08 PM   #1
dixie46
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Removal of port

Do you have to have your port surgerically removed in the operating room with anesthesia or can it be removed in a outpatient office by a surgeon with something local?
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Old 08-22-2010, 12:05 AM   #2
Chelee
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Re: Removal of port

I've heard it done both ways. I had my 1st port removed in the hospital. Simple procedure with local anesthesia...in and out same day.
I know of lots of other women that had them done in their surgeon's office. I actually felt better about having it done in the hospital just in case there was a problem. As far as I know it is always done as outpatient regardless of where you have it removed.

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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 08-23-2010, 07:12 AM   #3
mmoons
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Re: Removal of port

Getting mine out today. I am going to the surgical center but getting a local. In & out they said. Good luck!
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My loves

IDC & DCIS, HER2+++ Diagnosis: October 1, 2008
  • Tumor: 6.8 centimeters, never showed on mammograms
  • ER-/PR-
  • November 2008: Sentinal Lymph node surgery. 6 out of 9 lymph nodes with cancer
  • Stage IIIc
  • Lapatinib Clinical Trial start: November, 2008
  • Surgery: May 5, 2009
  • Started Herceptin: May 19, 2009
  • Started Radiation (33 rounds): June 10, 2009
  • September 2009: Moved to Michigan to be closer to family
  • 12/09 - still on Herceptin until May 2010
  • August 2010: Port out, port out, port out port out port port port out port ooooout...da da da dant! (to the music of the Pink Panther)
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Old 08-23-2010, 08:58 AM   #4
BonnieR
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Re: Removal of port

Mine was installed in the surgical center under anesthesia but was removed in the surgeon's office with local. It went fine. Just some "sensation" of tugging but, really, it went smoothly. We chatted while she did it. It helped that I had taken half an Ativan!!! Keep the faith.
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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
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Old 08-23-2010, 09:16 AM   #5
Jackie07
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Re: Removal of port

My first one must have been taken out under anesthesia because I don't remember a thing about it. I'm seriously thinking about getting the current one out. Will talk to my oncologist next week about it during my appointment.
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NICU 4.4 LB
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BRCA1 V1247I
hptc hemangioma
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hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY." Irene from Tampa

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Old 05-15-2011, 08:51 PM   #6
Jackie07
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Re: Removal of port

Did a search on 'port removal' and found my own posting here (above). Can't believe that I ended up keeping it for another 9 months. Did not remember my posting at all because I turned down my doctor's offer both last summer and last month.

Then I thought it over and checked out some information about possible blood clot problem of the port. Now I'm scheduled to get the port out tomorrow by the surgeon - and heard that she's moving to Houston! Better get it done 'now'! Found a card and a little something for her. 8 years, that's how long we've known each other. And we like each other a lot! (Because she likes to perform surgery and I like to have surgeries? LOL!

My oncologist is going to be surprised when he learns about this. Seems I've always liked to do things 'behind' his back...
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http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2

NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
CN 3 GKRS 52301
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan
Irrtbl bowel 1'09
Colonoscopy 313
BRCA1 V1247I
hptc hemangioma
Vertigo
GI - > yogurt
hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY." Irene from Tampa

Advocacy is a passion .. not a pastime - Joe
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Old 05-16-2011, 12:55 PM   #7
tricia keegan
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Re: Removal of port

I had mine removed with a local in the office, the only pain I felt was the local shot but otherwise just pressure

I bled for a while afterwards but think that may be unusual as they had a tough time getting it out but it was all over in half an hour!
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Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
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Old 05-16-2011, 01:03 PM   #8
1rarebird
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Re: Removal of port

At my 4-month check up last week, my oncologist and I discussed if now was a good time to get my port removed. With my 2-year anniversary (diagnosis based) pending (actually it was yesterday), the good doctor said I could have it out if I wanted to. I told him that my biggest problem with my port is keeping the appointments every 8-weeks for the maintenance. At times it has been a inconvenience for me, but I follow his orders. When I mentioned the hassle to him he laughed and told me about a man he once treated who ignored for 5 years having his port flushed. The man had a recurrence of his cancer (I don't know which kind) and when they tried the port, to everyone's surprise it functioned properly and the chemo infusions began with no problems. My doctor said he didn't recommend that I follow this fellow as a model, but he said that I shouldn't get too worried if I missed a port maintenance by a week or two.----- I'm still weighing the pros and cons for getting my port out.---bird
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Old 05-16-2011, 02:20 PM   #9
Jackie07
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Re: Removal of port

Well, my port is out! It went exactly like the video clip I watched on the Internet. Except I talked their ears off during the procedure ... Dr. Miltenburg will be practising at the Women's Hospital in Houston in a couple of weeks. She supervised a young lady to remove my port.

The only thing that was 'new' to me was that I had to be 'grounded' before (and during) the procedure. A staff actually taped a grounded wire to my thigh...

Postoperative instructions include using Tylenol or Motrin as needed for pain and no heavy lifting for 1 week.
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http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2

NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
CN 3 GKRS 52301
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan
Irrtbl bowel 1'09
Colonoscopy 313
BRCA1 V1247I
hptc hemangioma
Vertigo
GI - > yogurt
hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY." Irene from Tampa

Advocacy is a passion .. not a pastime - Joe
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Old 05-16-2011, 06:50 PM   #10
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Re: Removal of port

I finished my chemo 2 days before Christmas in 08 and I had my port removed 2 weeks later. I had all my stuff done at MD Anderson and removal was an outpatient procedure done in the hospital under local. They put in a couple of stitches. The whole thing didn't take ten minutes. It was a piece of cake.
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Old 05-17-2011, 06:31 AM   #11
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Re: Removal of port

I asked my surgeon if I could have mine after he took it out. This way I could actually show people what it looked like. They could not understand what it looked like before. He said it was unusual but he let me take it anyways. Glad all went good with yours.
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Diagnosed 8/10/06 (found own lump)at 35

Her 2 +++, er-/pr-
4 A/C 8-29-06 to 11-06
Lumpectomy, node dissection- 11/30/06
Pathology report stage IIIC
1 tumor 3 cm
10 of 15 nodes +
12 Taxol 12/18/06-03/06/07
Herceptin 12/18/06- 12/11/2007 done!!! yeah!!!
33 rads started 3/22/07, done!! yeah!! 5/07/07
Lymphedema diagnosed 2/1/07
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port out 1/10/08
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Old 05-17-2011, 06:56 AM   #12
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Re: Removal of port

I, like you, asked to take mine with me. They gave it to me and after 15 months of use it looked show room new. I was a high school teacher ( I retired last year) and I took it for my students to see. They had followed my journey asking questions along the way. Even though I had showed them pictures of what a port looked like and you could see where mine was when I wore a blouse with a scoop neck, they really enjoyed seeing the actual thing. I had several students that were going on to nursing school and I thought it was a good learning experience not just for them but for all of my students.

Congrats on the blessings of life and babies!!!!!
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Old 05-17-2011, 12:26 PM   #13
Jackie07
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Re: Removal of port

Glad I'm just 'normal' to have asked for my old port for souvenir. The young staff hesitated, but my surgeon said 'yes' after I assured them it would go nowhere but my old, dried fish tank containing an old, dried bonsai tree and... The young staff 'cleaned' it up and rinsed it off before wrappying it with tissues and putting it in a biohazard bag.

I unwrapped it and showed it to hubby when we got home. He shaked his head - he has inherited his Dad's habit of throwing away 'junks' - they just don't understand the sentimental value of some old junk...
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http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2

NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
CN 3 GKRS 52301
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan
Irrtbl bowel 1'09
Colonoscopy 313
BRCA1 V1247I
hptc hemangioma
Vertigo
GI - > yogurt
hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY." Irene from Tampa

Advocacy is a passion .. not a pastime - Joe
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Old 05-17-2011, 02:05 PM   #14
tricia keegan
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Re: Removal of port

I was asked if I wanted mine but refused, while it helped me during chemo I really wanted no reminders!
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Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 07-12-2011, 07:43 PM   #15
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Re: Removal of port

I have 2 more herceptin treatments left so I am eagerly looking forward to scheduling an appointment to get my port removed. My surgeon has left it up to me to have it done under local anesthesia or at the hospital under general anesthesia. At this point I haven't decided which method to select. For those who elected the local in office procedure, was there any pain involved? Thanks!
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Old 07-12-2011, 08:04 PM   #16
Jackie07
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Re: Removal of port

Mine was done in the office with a 'local'. My surgeon 'supervised' a young resident doctor to remove my port. It probably took longer because of that - and made me a little bit uneasy. But everything went well and two nurses/technicians were left to 'irrigate' the wound/opening.

There was probably a little bit 'sting' when the shots of local anethesia were given. But there's really not much to it.
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http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2

NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
CN 3 GKRS 52301
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan
Irrtbl bowel 1'09
Colonoscopy 313
BRCA1 V1247I
hptc hemangioma
Vertigo
GI - > yogurt
hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY." Irene from Tampa

Advocacy is a passion .. not a pastime - Joe
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Old 07-12-2011, 08:39 PM   #17
dixie46
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Re: Removal of port

I had mine removed at the surgeon's office with a local. A resident watched and did the stitch up but it was over in about 10 minutes and I have had no problems. It has been out for about 4 months. You will do fine with either decision. I admit to missing it for blood draws now but otherwise happy to not have to do maintenance every month.
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Old 07-12-2011, 08:43 PM   #18
ljbm
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Re: Removal of port

I had mine removed at MD Anderson where I had done all my treatments. They sent me to a nurse and it was done under a local in a clinic room. The whole thing took ten or 15 minutes. I took it back home to show all my students. It was no big deal. Good luck!!
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Old 07-12-2011, 08:41 PM   #19
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Re: Removal of port

Msleslie, good to see you!!!
My port was removed in the surgeon's office. It was not painful. She numbed it, of course, and we chatted while she did the proceedure. I just recall a slight, brief tugging sensation and then it was over. As I mentioned earlier, I had fortified myself with a bit of Ativan first! Let us know what you decide
Keep the faith.
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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 07-13-2011, 12:10 PM   #20
tricia keegan
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Join Date: Nov 2005
Location: Ireland
Posts: 3,463
Re: Removal of port

MSLeslie, Mine was numbed too and the only pain I felt was the shot for a few seconds but otherwise just pressure, no pain!
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Tricia
Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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