Inflammatory breast cancer: A review from our experience

Breast Dis. 2019;38(2):47-55. doi: 10.3233/BD-180365.

Abstract

Introduction: Inflammatory Breast Cancer (IBC) is a distinct and rare type of breast cancer accounting for up to 6% of all breast cancer cases in Europe. The aim of this study was to investigate diagnostic methods, treatments, and outcome after IBC in patients treated at a single institution in Denmark.

Method: All patients treated for IBC at Aarhus University Hospital between 2000 and 2014 were identified and included in the cohort. Survival was assessed using Kaplan-Meier curves and log-rank statistics.

Results: A total of 89 patients were identified with a median follow up of 3.6 years. The overall survival at 5 and 10 years were 41% and 18%, respectively. The disease free survival at 5 and 10 years were 47% and 27%, respectively. Thirty-four percent had distant metastasis at time of diagnosis. Patients with ER positive tumors had a significantly better overall survival than patients with ER negative tumors (p = 0.01).

Conclusion: Despite a more aggressive systemic and loco-regional treatment today, IBC is still a very serious disease with a high mortality.

Keywords: Inflammatory Breast Cancer (IBC); inflammation; metastases.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor / genetics
  • Biopsy, Needle
  • Denmark / epidemiology
  • Disease-Free Survival
  • Female
  • Humans
  • Inflammatory Breast Neoplasms / diagnostic imaging*
  • Inflammatory Breast Neoplasms / drug therapy*
  • Inflammatory Breast Neoplasms / epidemiology
  • Inflammatory Breast Neoplasms / secondary
  • Magnetic Resonance Imaging
  • Mammography
  • Middle Aged
  • Neoplasm Metastasis
  • Receptors, Estrogen / genetics
  • Registries*
  • Retrospective Studies
  • Skin / pathology
  • Survival Rate

Substances

  • Biomarkers, Tumor
  • Receptors, Estrogen