chemo question

"dee" <[email hidden]> a écrit dans le message de
"]news:[email hidden]...

Quoted message said:

My mother was diagnosed with multiple myeloma in February.
She is receiving chemo now through a port in her chest. My
question is - has anyone heard of a needle falling out of
the port and the chemo drugs being pumped into a persons
chest, right into the tissue?

If you see the way the needle is fixed into the port, I
doubt that it's possible, at least, even if I was
completely paranoiac during my cancer treatment, this is
not something which came across my mind. The main potential
complication of the port is thrombosis, this is what you
have to watch carefully if your hand or neck get strangely
warm or swollen.

Regine

dee said:

My mother was diagnosed with multiple myeloma in February.
She is receiving chemo now through a port in her chest. My
question is - has anyone heard of a needle falling out of
the port and the chemo drugs being pumped into a persons
chest, right into the tissue? If anyone has experience in
this situation, I would appreciate some advise. I do have
more questions, too.

dee

Are you saying that actually happened? If so, I'll try to
research it when I have a moment. J

...

Quoted message said:

My mother was diagnosed with multiple myeloma in February.
She is receiving chemo now through a port in her chest. My
question is - has anyone heard of a needle falling out of
the port and the chemo drugs being pumped into a persons
chest, right into the tissue? If anyone has experience in
this situation, I would appreciate some advise. I do have
more questions, too.

dee

Yes this can certainly happen. Extravasation and tissuing
are essentially the same thing....the chemo drug gets into
the tissues and can cause a toxic local reaction sometimes
resulting in a necrotic ulcer which can be a bugger to
heal. Having said that I wouldn't get into a panic about
it. If the site is still ok after a few weeks then chances
are no great damage has been done. I've seen a few
instances of chemo going where it shouldn't and there were
no major problems as I recall. Doctors and nurses usually
are imagining the worst possible scenario when this
happens, hence the tense reaction. Wait and see is my
advice. After the initial event there is little that can be
done anyway. MIKE

dee said:

My mother was diagnosed with multiple myeloma in February.
She is receiving chemo now through a port in her chest. My
question is - has anyone heard of a needle falling out of
the port and the chemo drugs being pumped into a persons
chest, right into the tissue? If anyone has experience in
this situation, I would appreciate some advise. I do have
more questions, too.

If she was getting the usual first-line combination of
melphalan and prednisone she could develop (delayed) tissue
necrosis at the site of extravasation, although melphalan is
generally not considered a vesicant. Local treatment:
Infiltrate the site with hyaluronidase. Apply heat and
compression.

--
madiba