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Breast Cancer - Inflammatory Breast
Cancer (IBC)
By
Michael Russell |
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There are many types of breast cancer and not all look
the same way. Not all breast cancers show up as a lump. One type of breast
cancer that does not typically present as a lump is Inflammatory Breast
Cancer or IBC. IBC makes up only 1% to 6% of all breast cancers, so many
people are not familiar with the disease.
IBC is the most aggressive type of breast cancer. It
tends to grow at a much faster rate than the other types of cancer. IBC
grows in sheets or nests of cells in the breast as opposed to growing in a
solid tumor. IBC grows in the dermal (skin) lymphatic system which explains
why there is usually no lump associated with it. The symptoms of IBC appear
due to the cancer cells blocking the lymph vessels below the skin -
typically presenting as warm skin and color changes. Because of the
involvement of the lymphatic system, IBC carries an initial Stage 3
diagnosis, however, the earlier you detect the disease and begin treatment,
the greater your chances of survival.
Symptoms of IBC include a rapid, unusual increase in
breast size; nipple discharge or change in the areola area (the pigmented
area around the nipple); any skin changes of the breast such as redness,
rash or blotchiness; a flattening or retracting of the nipple; persistent
itching of the
breast or nipple; dimpling or ridging of the nipple; a lump
or thickening of the breast tissue; any lymph node swelling under the arm or
above the collar bone; stabbing pain or sore breast; and a feverish breast.
These symptoms may appear quickly and seemingly out of nowhere.
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Mammograms and ultrasounds usually miss IBC unless there
is a tumor involved.
IBC can be detected by a number of biopsy methods. A skin
punch biopsy or needle core biopsy in combination with an MRI and/or a PET
scan are usually the course of action when investigating suspicious
symptoms. Any area of concern removed by biopsy must also include the tissue
from below the skin surface. Another term used to refer to IBC in a
pathology report is "dermal lymphatic involvement".
Some doctors will treat
women with an antibiotic for
mastitis upon initial consultation. Mastitis is a benign breast infection.
If your symptoms have not improved after 7-10 days of antibiotic treatment,
insist on a biopsy. Some skin rashes can be caused by allergies or are
reactions to certain soaps and/or detergents. Changing the soap or detergent
you use can sometime resolve a skin rash, but if there is no improvement you
should insist on a biopsy.
One myth of breast cancer is that is
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