I have a port question - looking for opinions and personal experiences

Posted by cjay @cjay, Aug 10, 2023

I was diagnosed with stage 3 colorectal cancer in early February. I had the tumor and 26 lymph nodes removed, and was given a resection with a temporary ileostomy. I started chemo in May, and I have one more session to go before I’m finished. My reversal surgery, for the ileostomy is already scheduled, and I was planning on having the port removed. Today I was told that it’s common for most patients to keep the port in for one year, and go 6 to 8 weeks for port flushes in the interim. I don’t plan on keeping my port in! I find that it feels very negative, almost like I’m ‘waiting’ for the cancer to return. I feel like if it does return I’ll deal with it then. Am I being pigheaded and obstinate? I really don’t think I can keep it in for a year. Thanks for any opinions and thoughts. 💗

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I have stage 3C colorectal cancer. After 12 cycle treatments, scans didn’t detect any so doctor ordered to remove the port. However the cancer came back 6 months later and they put a new port in again. Unfortunately Cancer has come back 3 times and have spread to lung, liver, last bone, and around stoma.
I have dealt with this bad boy over 4 years and just learned that there is no drugs/medications out there to treat my new cancer gene KRAS G12D. I’m on clinical trial with a new med. Hope it works for me.
You may want to have gene test to check whether your gene is good or changed to a new variant.
It seems you are way better than me.
Best good luck to you!

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Profile picture for george544 @george544

There are many things we've learned to tolerate on this journey, but lying? Unacceptable.

My husband has a port. An infusion home health nurse comes once a week to change the dressing and the needle. We weren't told about this weekly painful process. It wasn't a lie, in our case - it was more of an oversight. We're NOT naive, very assertive advocates for needs, and were surprised when we learned that the weekly visit was part of the process. We only heard the good points (e.g., husband gaining weight; balancing sodium to stay out of ICU), which have turned out to be life saviors, so at this point, my husband deals every Monday morning when the nurse comes.

We're using the port for TPN and hydration. My husband hasn't been strong enough for chemo and now the cancer has spread to multiple organs. The oncologist is now saying it's too late...which has infuriated our surgeon and she's seeing a second opinion at a different hospital. Too soon --- turned into too late. We're moving on from him. He was suppose to be incredible.

Telling you that because we do not have experience with chemo and the port. Hopefully, that is coming within the next week or so.

However, over the 7 months we've had the port, we've learned that some people keep their port, but it's "closed" and is not accessed. Means no more weekly needles.

As for any tests, say no. They MUST respect that. We've said NO to a number of things - for example, when we were getting discharged from the hospital yesterday, the hospitalist was insisting that someone access our port, and change the needle. We refused. No way was someone who doesn't deal with ports on a daily basis touching his port.

They backed off.

Wishing you all the best... and as a wife, I'm sure 90% of the time, she loves having you underfoot:)

Instead of having it removed, could you have it "un-accessed" and thus, turn off the tests and needles and such?

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@george544 I would suggest that you review details on the "Smart Port"and the specifics on flushing and maintenance. You are probably unaware of the dangers of chemo port infection, blood clots , pulmonary embolism, sepsis, etc. Basically when a doctor tells a patient that " the port can be removed probably 3 weeks to six months after your chemotherapy has been completed"; and then 19 months elapse , numerous requests for removal of the port are made by the patient and the port is still intact.; now tell me if you would call that an honest remark by a doctor.

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Profile picture for minhthanhle @minhthanhle

I have stage 3C colorectal cancer. After 12 cycle treatments, scans didn’t detect any so doctor ordered to remove the port. However the cancer came back 6 months later and they put a new port in again. Unfortunately Cancer has come back 3 times and have spread to lung, liver, last bone, and around stoma.
I have dealt with this bad boy over 4 years and just learned that there is no drugs/medications out there to treat my new cancer gene KRAS G12D. I’m on clinical trial with a new med. Hope it works for me.
You may want to have gene test to check whether your gene is good or changed to a new variant.
It seems you are way better than me.
Best good luck to you!

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@minhthanhle Good to read that you are alive fighting your erratic cell groth issue. Genetic testing is a multi-million dollar enterprise ( e.g. Natera, Inc.) which is not cheap. How about $5,000 plus for every test result ? Most of the tests; even in healthy cancer free people show an abnormality for the doctor to address which can be depressing and relentless. Good Luck!

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Profile picture for airhorn83 @airhorn83

@george544 I would suggest that you review details on the "Smart Port"and the specifics on flushing and maintenance. You are probably unaware of the dangers of chemo port infection, blood clots , pulmonary embolism, sepsis, etc. Basically when a doctor tells a patient that " the port can be removed probably 3 weeks to six months after your chemotherapy has been completed"; and then 19 months elapse , numerous requests for removal of the port are made by the patient and the port is still intact.; now tell me if you would call that an honest remark by a doctor.

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@airhorn83
We haven’t use the port for chemo because no chemo yet. We use the port for TPN and hydration. It’s reaccessed each week by our home infusion nurse. Moving into chemo, which we’ll hopefully happen soon, will be a game changer with the port, I’m sure.

I’m so frustrated for you. You want the port out, it should be out! Period. End of discussion.

Can you go somewhere else and have it removed?

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I was happy to keep my port in after I’d finished my chemo and immunotherapy treatment for stage 4 appendix cancer (grouped in with colorectal cancer). I chose not to do maintenance after I was declared NED (meant to have only a temporary break but somehow weeks became months became years).

My cancer is aggressive and will come back. I’ve been lucky, not yet!

For a while I was being surveillance screened 3 monthly, then 4 monthly and recently moved to 6 monthly. Even though I don’t use my port for blood tests or for PET-CT contrast dyes, it was a no brainer for me to keep my port in. It didn’t interfere with my life at all and I had no trouble at all with it. I just needed to go into the cancer centre every few months to get it flushed. Easy. Then one day at the cancer centre it suddenly didn’t work. At that stage I hadn’t had treatment for 3 years so my oncologist was happy for it to be removed and not replaced. I’ll get it replaced when my cancer comes back.

Moral of the story: No one size fits all. I’d still have mine ready if it hadn’t failed while being flushed.

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Profile picture for jaspithill1946 @jaspithill1946

If you’re going to have chemo you need to have a port. The placement is a fairly simple procedure, though it does require general anesthetic. Removal is a piece of cake, in the clinic, local anesthetic. That being said, I AM younger that you, I’m ONLY 79.

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@jaspithill1946
You don’t need a port for all chemo , my husband only had one placed when they started giving him a chemo treatment that that was for 48 hours

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I had twelve cycles of Folfox. Having my port removed in 10 days. Thanks for the advice.

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I had my port in for a year. Every time I looked at it or felt it I thought this was the pathway to overcoming cancer. This made it possible for me to receive the medicine I need to become cancer free. We all have been through so much being diagnosed and living through treatment. If you have to keep it in for a bit longer know it’s not forever.

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Profile picture for islandgirl1961 @islandgirl1961

I had my port in for a year. Every time I looked at it or felt it I thought this was the pathway to overcoming cancer. This made it possible for me to receive the medicine I need to become cancer free. We all have been through so much being diagnosed and living through treatment. If you have to keep it in for a bit longer know it’s not forever.

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@islandgirl1961
Nicely put.

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