Tag: African American

Inflammatory breast cancer takes lives of most of the people who develop it. It is a very “hostile” type of cancer, which thankfully, is also rare. It gets its name from the inflammation the breasts of the victim develop. Contrary to other forms of cancer, inflammatory breast cancer can develop in relatively younger females, too. Rarely do men develop IBC.

In Inflammatory breast cancer, the cancer cells block lymph vessels of the breast. This gives rise to the apparent inflammation and redness of the breast of a person diagnosed with IBC. Other forms of cancer usually develop in women as they age, but that is not the case with IBC. It can occur in young women, too. It is also said that African American women are more prone to developing IBC, and at a younger age too, compared to White women.

Inflammatory breast cancer can start showing symptoms early on, and become very advanced within a matter or few days. This can be very sad, especially when women delay seeking medical advice regarding the symptoms, as the cancer can advance very rapidly, and it can be very late already, when they seek medical help. However, the symptoms for IBC are so alarming that women almost immediately seek advice, and this is one reason for relatively earlier diagnosis of Inflammatory breast cancer, in most cases.

The unique characteristic of Inflammatory breast cancer is that no lump formation is associated with it. This characteristic makes it all the more dangerous, because mammography and ultrasound can not detect it, and it often goes undiagnosed, or misdiagnosed. Biopsy is the best method for diagnosing IBC.

The typical attributes of Inflammatory breast cancer are extreme redness, purple-ish bruised appearance, and swelling of the breast, which makes it look inflamed, hence the cancer’s name. The blocking of the lymph vessels by the cancer cells is the reason for both redness and swelling. Continual itching, a fast and constant increase in size of the breast, inverted nipples, tenderness, aches, heavy and burning sensations are all associated with Inflammatory breast cancer. Sometimes, the skin of the breast may also appear pitted, medically called peau d’orange, and this is due to swelling and accumulation of fluids. Also, the areola or the skin around the nipple can change in color, the skin of the nipple can swell, and lymph nodes on either side of the collarbone and under the arm can swell.

IBC is often misdiagnosed as mastitis, a breast cancer infection accompanied with redness and swelling of the breast. The most important thing to remember here is that symptoms persist even after two weeks of treatment for IBC, which is not the case with mastitis. It is also good to know that previous chest operations may partially block your breast lymph vessels, and this is not a breast cancer condition.

The treatment for Inflammatory breast cancer has greatly improved over the last few years. When the mortality rate used to be 100% few years back, today, around 60% women diagnosed with IBC live through their natural life-span. For treating IBC, a combination of therapies is required. Doctors usually start with chemotherapy and hormonal treatment, and follow it up with neoadjuvant therapy and mastectomy, after which, radiation therapy is highly recommended to prevent a recurrence of cancer.

The high mortality rate, the extensive treatments, the fear because of uncertainty of results, and all the other woes Inflammatory breast cancer can bring you will naturally put you down and scare you. Your fear is justified, but you must remember that technology has advanced exponentially over the last few years. If you keep hope, all the technology will just go into curing you.

Inflammatory breast cancer, or IBC, is a rare form of breast cancer. It is estimated to occur in only 1 – 3% of all breast cancer patients. It usually occurs in post-menopausal women, but cases have been found in girls as young as 12 and in men. IBC is usually diagnosed at an earlier age than other forms of breast cancer and is more common in African American women than in Caucasian women. This cancer has a higher mortality rate because it is often misdiagnosed in the early, more treatable stages. However, advances in cancer research have improved the survival rate.

This cancer grows rapidly; your symptoms will appear in a matter of days or weeks. Women with inflammatory breast cancer often have no idea that they have breast cancer because IBC does not usually form a lump in the breast. Instead, this cancer forms ‘sheets’ of cancer cells making your breast feel thicker or heavier than usual. Other symptoms of IBC include swelling and tenderness of the breast, discoloration (usually red to purple) of the breast, itching or pain in the breast, dimpled or rough looking skin on the breast, swelling or crusting of the skin on the nipple and flattening or retraction of the nipple. Many of these symptoms mimic those of a breast infection, or mastitis. Mastitis usually causes a fever and usually occurs in younger breast-feeding mothers. Mastitis will respond to antibiotics. IBC, which has been documented in breast-feeding women, does not cause a fever nor respond to antibiotics.

Because the symptoms of IBC are so similar to mastitis and because inflammatory breast cancer is so rare, many doctors misdiagnose this cancer as mastitis. Patients are often prescribed multiple rounds of antibiotics because it doesn’t clear up after the first round. If you have these symptoms and your doctor wants you to take more than one round of antibiotics, ask for a biopsy or referral to a breast specialist. You may have to be very aggressive to get the proper diagnosis. This is vital because the earlier this is diagnosed, the sooner you can begin treatment and the better your survival chances.

A proper cancer diagnosis usually results from elimination of mastitis as a culprit, with the symptoms still present and possibly getting worse. Your doctor may schedule you for a mammogram or a breast sonogram to confirm the diagnosis, but these are not very reliable with this cancer because the affected area may not show up. A biopsy is the most effective way to confirm diagnosis of this cancer, however it may still be wrong if your doctor biopsies the wrong area of your breast. Because this cancer does grow very rapidly, your doctor may also schedule other tests to determine if your cancer has spread to other organs in your body. This will affect your course of treatment.

Your treatment depends largely upon whether your cancer has spread to other organs of your body. You will most likely have a team of doctors talking with you, trying to determine the best course of treatment for you. You will receive aggressive treatment because inflammatory breast cancer is a late stage cancer. This means you will most likely receive chemotherapy, surgery and radiation therapy. You will most likely receive chemotherapy first because this cancer makes performing surgery first risky due to the skin changes it causes. Chemotherapy also works to shrink the size of the cancer, making it more likely that surgery will remove all of it. The surgery that most women choose with this cancer is a mastectomy, or complete removal of the affected breast. This is because the cancer is often widespread throughout the breast, making a surgery that preserves breast tissue highly unlikely.

During surgery, your surgeon will probably remove the lymph nodes under your arm to examine them for cancer. After surgery, you will most likely receive radiation therapy. Radiation therapy is used to kill any cancer cells that the surgeon may have missed and to help prevent the cancer from returning. Inflammatory breast cancer has a high incidence of recurrence, so your doctor may prescribe additional rounds of chemotherapy if you responded well to the previous rounds or hormone therapy if your cancer was the type that grew in the presence of estrogen.