Port Chest or Arm

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Mucki1991
Mucki1991 Member Posts: 294

Can you offer advice on port placement? I was thinking the arm might be easier than the chest. Any thoughts you may have are apprecitaed.

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  • Artista928
    Artista928 Member Posts: 2,753
    edited August 2017

    I didn't know there was a choice and thought everyone gets it on the chest. I have it on my right side of my chest since the left is the affected side. Some docs say it has to be on the left but no it doesn't. I guess since you can have some discomfort would you rather have it in your arm or chest area is what I'd be thinking.

  • Mucki1991
    Mucki1991 Member Posts: 294
    edited August 2017

    My BS doesn't do them in the arm so it would mean finding another surgeon I'm just wondering if the arm offers any benefit over the chest. Thanks for sharing Artista I'm not super worried bout the pain just thought the arm maybe easier to hide

  • keepthefaith
    keepthefaith Member Posts: 2,156
    edited August 2017

    mucki, I had mine on my left chest. Surgeon was careful to place it so it wouldn't be bothered by my bra strap. It really doesn't take too much getting used to. Only a few days and you will forget it's there. I used a small pillow as a cushion if I needed to keep it from hitting something. I never thought about hiding it, myself, but I get it:). I'm sure every surgeon has their preference or reason. Maybe it delivers faster or has less potential for problems...?

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited August 2017

    Hi!

    I wasn't given a choice; mine is in my chest. I finished infusions in December 2015, but I'm keeping my port until my five year cancerversary. I guess people can see it if I'm wearing something with a lower neckline, but I don't care. I love my port; I wouldn't have done chemo and targeted therapy without it!

  • pingpong1953
    pingpong1953 Member Posts: 362
    edited August 2017

    Are you sure you're talking about a port and not a PICC line in the arm?


  • LisaAlissa
    LisaAlissa Member Posts: 1,092
    edited August 2017

    Do put on your favorite bra (or bras) and see where you don't want the port. Some docs will have you outline (on your skin) where you don't want it. Or will have you wear the bra you like, so that they can see where not to put it. Check w/ their office staff for your docs preference.

    Just an idea.

    HTH,

    LisaAlissa

  • Mucki1991
    Mucki1991 Member Posts: 294
    edited August 2017

    Thanks for sharing ladies. no bra for me yet I just got my coobie.. I haven't been this small since I was like 10. lmbo and yes def referring to the port. It seems arm ports are not very common.

  • Artista928
    Artista928 Member Posts: 2,753
    edited August 2017

    I'm keeping mine forever. It doesn't bother me one bit and I hate being poked to death with veins blown all the time because mine are so small. I do labs enough that this is a big help plus if I recur I'm not sure they can put the port back in on the same side. My left side is the affected side so no port there for fear of lymphedema.

  • pingpong1953
    pingpong1953 Member Posts: 362
    edited August 2017

    Artista, I don't blame you for wanting to keep your port if you have small veins. About 30 years ago my ex-brother-in-law had to get chemo for lymphoma. He was a big guy (over 6 ft) and did not have what you'd call small veins. He constantly suffered from blown veins because of those caustic chemicals pumped directly into him without the protection of a port or PICC line. I guess we should be grateful for small mercies.

  • pingpong1953
    pingpong1953 Member Posts: 362
    edited August 2017

    Artista, I don't blame you for wanting to keep your port if you have small veins. About 30 years ago my ex-brother-in-law had to get chemo for lymphoma. He was a big guy (over 6 ft) and did not have what you'd call small veins. He constantly suffered from blown veins because of those caustic chemicals pumped directly into him without the protection of a port or PICC line. I guess we should be grateful for small mercies.

  • T-Sue
    T-Sue Member Posts: 217
    edited August 2017

    I have a port in my left upper arm. I love the location - unobtrusive and easy for nurses to access. And, my gosh, am I grateful for it everytime I have blood drawn or chemo - quick and painless.

    Enough people expressed surprise at the location that I asked my surgeon about it. She said arm ports have been around for years but that the surgical procedure is more technical and they don't make much money off that surgery, so many doctors don't do them (!) Crazy

  • Artista928
    Artista928 Member Posts: 2,753
    edited August 2017

    The chest is chosen because they hook it directly into the jugular or intraclavian vein. "Ideally, the catheter terminates in the superior vena cava or the right atrium. This position allows infused agents to be spread throughout the body quickly and efficiently." I'm guessing that's why they do the chest so it goes to the body quicker and more efficiently.

    https://en.wikipedia.org/wiki/Port_(medical)

  • Mucki1991
    Mucki1991 Member Posts: 294
    edited August 2017

    AriTista thank you for explaining

    Tsue that makes perfect sense as to why lots of DR don't do it.

  • Leslie2016
    Leslie2016 Member Posts: 316
    edited August 2017

    Mine is also on the left side of my chest, as my cancer was on the right. I would think having it on your arm would cause more chances to bang it into things and cause damage to it. On the chest, the only time I "notice" it now (other than when using it) is my seat belt strap. That didn't bother me in the winter with heavy sweatshirts on, but I do notice it now if I'm wearing a tshirt. I would think if it were on my arm that I would constantly be rubbing it on things. Also as Artista said, it's directly into the jugular. I wouldn't think they could do that if it were on the arm?? I don't know, but as much as I hated my port at first, I'm thankful to have it with all the infusions of chemo and now herceptin.

  • Kicks
    Kicks Member Posts: 4,131
    edited August 2017

    Different Drs have different ideas and different reasoning for those ideas.

    My port is on my left chest as surgery was on right. Later this month it will have been in for 8 yrs and there it will stay (unless something goes 'wrong' with it). According to what I was told, IF it is removed and then IF I ever need a new port it would have to go on arm or leg and that I don't want. About 45 yrs ago, my friend had to have a pacemaker and it was implanted on her upper arm. She was continually bumping it on 'something' or issues with rubbing/getting caught' on clothes. I would also think (just my thoughts - no documentation) that as arms move around a lot that a port placed there would be more 'feelable' (is that a word?) with each time the arm was moved.

    I have no issues at all with my port, I don't 'notice/feel' it at all - so there it will stay. I visualize some 'things' 'child- like' - my port is my Lil Soldier standing guard so the Big Monster will be afraid to attack again, however, if Big Monster decides to try to attack again Lil Soldier is there with rifle at ready to defeat it again.

    It is 'visiable', if looked for, when I wear a swimsuit, but so what! If 'anyone' has an issue with seeing it - they have a MAJOR problem themself - not me. So they can pack sand.

    I do not use my port for blood draws - no reason as I have great veins in left arm and it's a lot quicker and easier to just hit vein rather that to have to have RN who is educated on using ports to come in to flush it then draw and then reestablish heparin block. I did have one draw done via my port but that was only because I was scheduled for a flush the same day so when RN did the flush, she did the draw. I had UMX, 3 eye surgeries and a wrist surgery after port implant. Anesthesiologist for UMX did not want to use port - wanted to use vein. Port was used for anesthesia with 2nd cataract surgery because they had had such a hard (long) time getting a line established in a guy (bad veins) that was headed to emergency surgery so was asked if I minded if they used my port as they could get it in with no possible issue - of course - that's why I mentioned it and gave them the option of using vein or port.

    When my port was implanted, Surgeon really 'impressed' upon Hubby that I was not to do any 'heavy work or lifting' for 2 weeks. No mucking stalls, carrying feed sacks or hay bales or water (Surgeon is a horseman) but to ride all I wanted/felt like so I did and was back riding and teaching a couple of days after implant but NO barn chores for 2 weeks. Yeah!

  • pingpong1953
    pingpong1953 Member Posts: 362
    edited August 2017

    My PICC line is in my left arm (surgery was on the right) in my cephalic vein, which merges with the jugular vein. I'm not sure why a catheter attached to a port couldn't be placed in the same vein. In any event, having the PICC inserted involved a couple of shallow numbing injections and that was all the discomfort I felt. I had bruising for about a week, but it's been fine since then. A home health nurse comes once a week to flush the line and change the dressing, which covers the entire apparatus and keeps it safely tucked away. The only hassle is keeping it dry in the shower, but I've found that Glad Press and Seal keeps it dry. I only need it for 16 weeks, so it was a practical solution for me. If I were ever to need really long-term access I'd probably opt for a port.

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited August 2017

    My port is also on my chest, but very, very far to the right, in a little hollow between my shoulder and chest. It would only be visible if I wore spaghetti straps. It is also very tiny, as it's a Bard petite power port

    .PICC lines are not often used in the US for chemo, though common for those needing IV antibiotics. The insertion/removal is simpler than a port, but a port requires no special care and can get wet

  • Kicks
    Kicks Member Posts: 4,131
    edited August 2017

    At a time in the past, a PICC line was 'state of the art' for infusing Chemo.

    Back when the hyp of 'curing all cancers' by Laetrile, a friend's younger brother was DXd with leukemia. Parents bought into that scam and took him to Mexico. But the time they realized that it was not doing anything positive and got him to Shands, they tried at Shands but he did not survive. That was the first time I knew anything about PICC lines. From what I remember about all the care necessary for safely maintaining one, there is no way I would agree to do one instead of a port that is totally implanted and secure except when in use.

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