Inflammatory Breast Cancer - Cancer Science

What is Inflammatory Breast Cancer?

Inflammatory Breast Cancer (IBC) is a rare and aggressive form of breast cancer that accounts for 1-5% of all breast cancer cases. Unlike other breast cancers, IBC does not typically present as a distinct lump. Instead, it is characterized by the rapid onset of redness, swelling, and a warm feeling in the breast, often resembling an infection or inflammation.

How is IBC Diagnosed?

Diagnosing IBC can be challenging due to its atypical presentation. It is often mistaken for a breast infection or mastitis. Diagnosis typically involves a combination of clinical examination, imaging tests like mammograms and ultrasounds, and a biopsy to confirm the presence of cancer cells. A skin biopsy may also be performed since IBC often affects the skin.

Symptoms of Inflammatory Breast Cancer

Common symptoms include rapid changes in the appearance of one breast, redness, swelling, and a pitted, thickened skin texture known as "peau d'orange". Other symptoms may include heaviness, a burning sensation, and tenderness. These symptoms can develop quickly, often within weeks.

Stages of Inflammatory Breast Cancer

IBC is typically diagnosed at an advanced stage. It is usually classified as either stage III or stage IV, depending on whether it has spread to nearby lymph nodes or other parts of the body. Stage III indicates local or regional spread, while stage IV indicates distant metastasis.

Treatment Options

Treatment for IBC is generally aggressive and involves a combination of therapies. This often includes neoadjuvant chemotherapy to shrink the tumor before surgery, followed by a mastectomy and radiation therapy. Additional treatments may involve targeted therapy, hormone therapy, and immunotherapy, depending on the cancer's specific characteristics.

Prognosis and Survival Rates

The prognosis for IBC is generally poorer than for other forms of breast cancer due to its aggressive nature and late-stage diagnosis. However, advances in treatment have improved survival rates. The 5-year survival rate is approximately 41%, compared to higher survival rates for other types of breast cancer.

Research and Advances

Ongoing research is crucial for improving the diagnosis, treatment, and overall outcomes for IBC patients. Recent advances include the development of more effective targeted therapies and immunotherapies, as well as better diagnostic tools that can detect IBC earlier. Clinical trials are continuously being conducted to explore new treatment options and combinations.

Support and Resources

Being diagnosed with IBC can be overwhelming, and support is essential for both patients and their families. Numerous organizations provide resources, including the American Cancer Society and the National Cancer Institute. Support groups, both online and in-person, can offer emotional support and practical advice.



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