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Inflammatory Breast Cancer: The hidden killer


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Updated: 11/02/2009 11:34 am | Published: 10/29/2009 9:32 pm
(Copyright© Designs by Nan 2006,2007 Nancy Canzoneri http://www.designs-by-nan.com/freebreastcancerwrappers.html)
(Copyright© Designs by Nan 2006,2007 Nancy Canzoneri http://www.designs-by-nan.com/freebreastcancerwrappers.html)

SALT LAKE CITY (ABC 4 News) - It looks like a rash, or an infection. It strikes younger women, and it's a form of breast cancer that you have probably never heard of. It's called inflammatory breast cancer, or IBC, and unlike other breast cancers, self examinations are useless because often there is no "lump" until it's too late.

Inflammatory breast cancer is aggressive, grows rapidly, and is more deadly than other forms. It's called the "silent" breast cancer because it quietly masquerades as something else.

Julie Neff, who is currently fighting this silent breast cancer, said, "I thought it was Mastitis because I was nursing my infant." But the young mother of two couldn't get the breast infection to go away.  "We couldn't get rid of it. They said, 'Oh you better come in because antibiotics aren't doing anything.' We came in and they were like 'Oh, that looks really bad.'"

What Neff and her family doctors thought was a common breast infection was the silent killer, Inflammatory breast cancer, a breast cancer that isn't detected by self exams, and can be missed in a mammogram.

Doctor Anna Beck, an oncologist, said, "It doesn't present with a lump or nipple retraction or dimpling, instead it presents with these diffuse skin changes in the breast. That's why it tends to be overlooked or misdiagnosed until it's more advanced."

Julie was diagnosed with stage 4 inflammatory breast cancer in June, on her 33rd birthday. She said, "It was scary, really really scary."

At first Doctors thought the cancer had spread to her other organs, and was no longer treatable.

Neff worried about the outcome, she said, "I would look at my little babies face and my little boy and I just, it was really hard, a lot of despair because I was like, they are not even going to remember me."

Further testing brought better news. The cancer had not spread, Julie is now being treated with chemo-therapy and radiation.

These are the symptoms to watch out for: swelling that comes on suddenly, ridges, and pink or dark colored areas of skin. And a breast that is painful and warm to the touch.

Inflammatory breast cancer only accounts for about 5% of all breast cancers but doctors say they are seeing more of it. They say it's more common in younger women, and it's especially aggressive, and fast growing.

Doctor Jane Porretta, a surgeon, said, "We usually start with aggressive chemo-therapy rather than surgery which is often the first line of therapy in many other breast cancers."

The Neff family is also fighting Julie's cancer with faith and hope. Julie Neff said, "More hope that I will get through this and you know be able to raise my children."

Neff echoes words of doctors who treat IBC. Like other breast cancers, the key to survival is early detection. She said, "Get tested regularly, go do all of the tests that you need to do, and if there is something that worries you, get in right away. Right away."

The cancer specialists said it's okay to ask for a second opinion if you are concerned about a diagnosis.

So, what are the chances of survival? Because it is usually detected after the cancer is advanced, only 30% of women with IBC are ever cured of it. And it also has a high rate of re-occurrence.

Friday on ABC 4 there will be a panel of live doctors in house to answer your phone calls.

For more information on Inflammatory Breast Cancer, go to http://www.eraseibc.com  or http://www.ibcresearch.org/ 

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pbradfield - 11/3/2009 3:55 PM
JJJJ is very correct that what Dr. Anna Beck stated on the video is incorrect, and women need to know the symptoms so that they can arm themselves with the education that could possibly save their life or someone they know. After losing my only daughter to this (the most aggressive) breast cancer, I will never stop alerting women to the earliest of signs, which IS dimpling of the breast, sudden swelling (which can cause the nipple to retract) sometimes overnight (as in my daughters case). There are only 4 stages to any cancer, and IBC by its very definition is stage 3B at diagnosis. There is nothing at this time that be an early detection of IBC but researchers are working hard to make this a reality. Thank you Julie for sharing your story, and helping women understand, and thank you to channel 4 for doing this piece. Hopefully it will be followed with more that will warn the women in the Channel 4 viewing area. Patti Bradfield, President The Inflammatory Breast Cancer Foundation

pbradfield - 11/3/2009 3:54 PM
JJJJ is very correct that what Dr. Anna Beck stated on the video is incorrect, and women need to know the symptoms so that they can arm themselves with the education that could possibly save their life or someone they know. After losing my only daughter to this (the most aggressive) breast cancer, I will never stop alerting women to the earliest of signs, which IS dimpling of the breast, sudden swelling (which can cause the nipple to retract) sometimes overnight (as in my daughters case). There are only 4 stages to any cancer, and IBC by its very definition is stage 3B at diagnosis. There is nothing at this time that be an early detection of IBC but researchers are working hard to make this a reality. Thank you Julie for sharing your story, and helping women understand, and thank you to channel 4 for doing this piece. Hopefully it will be followed with more that will warn the women in the Channel 4 viewing area. Patti Bradfield, President The Inflammatory Breast Cancer Foundation

jjjjj - 10/30/2009 3:09 PM
I read and listened to your broadcast on IBC. As a nearly 8 year survivor of IBC, I detected a few inaccuracies. First of all, Dr. Anna Beck states that IBC does not present with nipple retraction and dimpling. In fact, nipple retraction and dimpling are two of the signs of IBC, along with the diffuse skin changes she mentions. Also, Julie Neff would be considered stage 111B or stage 111C if she had no spread to other organs, not stage 4, thankfully. Finally, commenter, Nanna, says that unlike other breast cancer survivors who are considered cancer free at 5 years(according to her), IBC can return in other organs. Of course, that is true, but in fact, IBC recurrence rate is greatest in the first three years. Although it can certainly return after 5 years, IBC patients have a better chance of continuing a NED status because of the great hazard curve the first three years. This information is from world reknown Dana Farber Cancer Institute in Boston, MA. I wish Julie the best of luck and good care so she may, indeed, see her babies grow and prosper.

bruce s - 10/30/2009 10:26 AM
I am a physicician and my wife has had IBC for 15 months, I initially knew very little about this disease prior to her diagnosis. At the time of her diagnosis our children were 1, 3, and 5 years old. Now I work to educate other physicians. This indeed a silent killer and does not obey the typical rules of breast cancer, presenting without a lump, not always detectable on mammogram and spreads with ease. It is also a lot more lethal than typical breast cancers. I appreciate Channel 4 for helping to educated the public on this disease and wish the family profiled the best as they deal with cancer.

nannna - 10/29/2009 10:51 PM
I have known aobut this kind of cancer for 7 yrs. My cousin who lives in Ca. has it. She found out about it in the same way Mrs. Neff did. She has gone thru treatment chemo, mastectomy, chemo and radation. She has been NED for 7 yrs now. Unlike other breast cancers who can say that after 5 yrs they are cancer free the women who have IBC are told that this cancer can return in other organs. So they are told that they show no evidence of disease. You should check out the IBC research web site. It has lots of info. Thank you for bring this to the attention of the women of Utah. Fay
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