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Updated: Dec 26 2021

Inflammatory Breast Carcinoma

  • Snap Shot
    • A 58-year-old women presents with a rapidly enlarging, painful breast mass. The overlying skin exhibits edema, warmth, erythema. There is non painful adenopathy in the ipsilateral axila.
  • Introduction
    • Most malignant type of breast cancer
    • Rare and accounts for less than 3% of the cases
  • Presentation
    • Presents with redness and pain of breast and peau d'orange skin
      • inflammatory presentation due to plugging of the dermal lymphatics
  • Differential
    • Must be distinguished from erysipelas of the breast
  • Treatment
    • Mainstays of therapy is
      • radiation
      • hormone therapy
      • Chemotherapy
    • Rarely resected surgically
    • Metastasis occurs early and prognosis is very poor
      • almost always widely metastatic at presentation
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