Sunday, July 30, 2006

You don't have to have a lump to have breast cancer

The kind of breast cancer Mama had is the common form we've been taught to check for -- she had a lump. But did you know there is more than one type of breast cancer? You don't have to have a lump to have breast cancer. Inflammatory breast cancer (IBC) is the most aggressive form of breast cancer. It is usually not detected by mammograms or ultrasounds. IBC tends to develop as a "sheet" instead of a lump or tumor.

Inflammatory breast cancer is the least common type of breast cancer. Some women who have IBC remain undiagnosed for long periods of time -- even while seeing their doctors about their symptoms. This is because the symptoms of IBC are similar to those of mastitis (pronounced ma-sty'-tis), a breast infection that is treated with antibiotics. IBC does not respond to antibiotics. On the IBC Research Foundation website (link follows), I also read of women whose rashes were misdiagnosed as insect bites, allergic reactions to food or detergents, shingles, even reactions to wearing underwire bras.

Until this week, I had never heard of inflammatory breast cancer. I learned of it when a friend sent me an email containing a link to a news channel story about IBC. Then of course I googled to find out more about this rare form of breast cancer. According to the Mayo Clinic (link follows) and the IBC Research websites, signs and symptoms of IBC include:
  • A breast that appears red, purple, pink or bruised ("bruise" does not go away)
  • A tender, firm and enlarged breast. Also according to ibcresearch.org, swelling is usually sudden, sometimes a cup size in a few days
  • A warm feeling in the breast (breast is warm to the touch)
  • Itching of the breast
  • Breast pain (from a constant ache to stabbing pains)
  • Ridged or dimpled skin texture, similar to an orange peel
  • Thickened areas of skin
  • Enlarged lymph nodes under the arm, above the collarbone or below the collarbone
  • Flattening or retraction of the nipple
  • Swollen or crusted skin on the nipple
  • Change in color of the skin around the nipple (areola)

Here are links to the websites I mentioned.

IBC Research Foundation http://www.ibcresearch.org/ This site includes pictures and several video and audio clips, including "IBC: The Silent Killer" from station KOMO News 4.

Mayo Clinic www.mayoclinic.com/health/inflammatory-breast-cancer/DS00632

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