A rare but very aggressive type of cancer is Inflammatory breast cancer. The mortality rate for Inflammatory breast cancer is higher than that for most other cancers. Contrary to its name, it doesn't occur because of some inflammation; rather, inflammation is just a symptom in IBC. It is not confined to older women and can develop in very young women, too. Men are not totally protected from IBC, even though their risk is too low.
There are lymph vessels in the breasts. When a person develops IBC, the malignant cancerous cells block these vessels. IBC develops in women at a younger age, compared to other forms of breast cancer. Some studies also suggest that White people are less likely to develop this cancer than the African Americans, who are also said to be vulnerable at a younger age.
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.
It is not necessary that a lump be formed if you have IBC. This makes the cancer very undetectable, as many women do not seek proper medical help if they have no lumps in their breasts. Also, without a lump, diagnostic techniques like mammography and ultrasounds can not be relied upon, and the cancer can go undiagnosed. If you show symptoms of Inflammatory breast cancer, insist on a biopsy.
If you have developed IBC, your breast will appear extremely red or purple, often bruised and tender. The breast also gets enormously swelled, giving rise to its inflamed look. The breast size will increase rapidly, and there might be perpetual itching, too. You might get inverted nipples, a heavy aching and burning feel around the breast. The skin around the breast may also appear bumpy, like the skin of an orange, which gives name to the condition's medical term, peau d'orange. This condition occurs due to fluid accumulation. Other symptoms are changes of color or texture in the skin around the nipple (areola), swelling of the nipple, swelling under the arm and on top and below the collarbone.
The most common misdiagnosis of Inflammatory breast cancer is mastitis. Mastitis is just a breast infection that shows the same symptoms like redness and swelling, as IBC. After a week or two of treatment for mastitis, your symptoms should start disappearing; otherwise, it's not mastitis. Lymph vessels can get blocked because of other reasons than cancer, too, such as operations on the chest. This is not any type of cancer. The best way of making sure is getting a biopsy done.
The mortality rate for IBC used to be 100% some decades back. Now, due to great advancement in technology, it has dropped down to 30% to 50%. Systemic therapy is a great treatment option with both chemotherapy and hormone therapy tried. This is usually followed by a surgery - neoadjuvant therapy - which should ideally be followed by mastectomy. Radiation therapy following the above combination of treatments reduces the chances of a redevelopment of cancer greatly.
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.