can IDC change or progress to IBC so worried

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mybeautifulsister
mybeautifulsister Member Posts: 142

My sister had her exchange surgery yestarday earlier than expected due to a raging infection that she has had for months, the redness started spreading across her chest. After the surgery her plastic surgeon said he had to do a lot of scraping and there was a "thick, like an orange peel" inside the breast he removed!!! She was diagnosed with IDC in Feb 08, stage 1 grade 2 0/nodes, cells found in Lymphatic channel.Wondering if IDC can progress into IBC, could this be scar tissue!!!

Thank you

Deb

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  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited June 2009

    This happen to me.  I did chemo first and than had surgery and did not have clear margins.
    Two months after surgery it came through the skin.

    Flalady

  • mybeautifulsister
    mybeautifulsister Member Posts: 142
    edited June 2009

    Hi Flaladay,

    So it is possible for IDC or another type of B/C to spread into IBC? How does one get tested for this???

    Thanks

    Deb

  • Caseysmom
    Caseysmom Member Posts: 507
    edited June 2009

    Deb:

    I'm sorry that your sister is having this problem.  I would make sure that she can get into see her surgeon asap.  The only way to get the positive dx for IBC is for them to do a biopsy of the area.  The sooner she gets a biopsy the faster treatment can be started. 

    Keeping you and your sister in my prayers.

    Hugs

    Laura

  • mybeautifulsister
    mybeautifulsister Member Posts: 142
    edited June 2009

    Thank you Casey, I will make sure!!!

    Deb

  • MarieKelly
    MarieKelly Member Posts: 591
    edited June 2009

    Yes, it's possible that someone could start out with IDC and eventually develop inflammatory BC. There are two kinds of IBC; primary and secondary.  The secondary type is far more common and if they're actually thinking your sister now has IBC, this secondary type is probably what they're talking about. If they've never even mentioned IBC, then just hang tight and wait for confirmation because it's far more likely to be nothing more than what you mentioned - " a raging infection" .

    PRIMARY IBC develops in a previously healthy breast.

    SECONDARY IBC is the development of inflammatory changes in a breast known to have a prior malignancy. It most commonly occurs following a mastectomy - usually at the chest wall.

    If you want to read more about this secondary type of IBC, just type into a search engine (using quotes) "secondary IBC" or "secondary inflammatory breast cancer".

     Best wishes to your sister for a rapid recovery!

  • mybeautifulsister
    mybeautifulsister Member Posts: 142
    edited June 2009

    This is so scary!!! I am afraid to even approach this with her  she has been through SO much already. I don`t even know how to say this. Where will I find the words???? I can`t bear to alarm her with this!!! Is it unethical or sneaky  for me to call the doctor my self without her knowing and let him take over???   can I please get some more feed back,  if this was you what and how would you want to hear this concern from your sister, or would you prefer it come from the doctor???

    I am so grateful to all you ladies on this site, you have ALWAYS offered such great  and compasionate advise to me!!!

    Deb

    Deb

  • Caseysmom
    Caseysmom Member Posts: 507
    edited June 2009

    Deb:

    Do you know if your sister gave permission to her doctors to talk to you about her bc and treatment.  If she did give them permission you might want to talk to them. The first thing I would ask her doctors is if they have heard of IBC. Don't be surprised if  they tell you no for a lot of physicians have never heard of or seen IBC. Tell them about any new symptoms that have come up since her last appointment.  I would let them know that you fear that this could be IBC and would like for them to do a punch biopsy. Her doctors then could approach this topic with both you and her. 

    If  your sister did not give her doctors permission to talk to anyone about her bc and treatment.  I know that it will be very hard to do but let her know about your thoughts and fears about her new symptoms. If it were me I would want someone to tell me. I would Explain to her that you have been doing some research on her new symptoms and that some of them fall into a category called IBC but the only way to find out is to have a punch biopsy.  You may be suprised that she may too have been looking this information up and does not want to worry your or your family. Let her know that you want to go with her to her next appointment to discuss this with her doctors.

    I hope that this helped.

    Hugs

    Laura

  • mybeautifulsister
    mybeautifulsister Member Posts: 142
    edited June 2009

    Thanks Laura,

    What I did was while in the doctors office for her follow-up I asked him if he sent everything to pathology, he said everything looked perfectly normal but did send it out. My sister doesn`t look up anything because she doesn`t want to know anymore than she has to, she is so emotionally fragile!!! I then called her ONC. told them what I thought, he will approach her confidentially without her knowing I called him.So  wishing we get good news!!! Thank you for the support and it certainly helped!!!

  • mybeautifulsister
    mybeautifulsister Member Posts: 142
    edited June 2009

    Ggo8,

    Please don`t feel you scared me, Breast Cancer scares me!! I am so sorry if my reaction made you feel bad, I wanted honesty and thats what I got, and I am so grateful for everyones replies, so helpful I cannot even tell you.

    Thank you for reaching out

    Deb

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited June 2009

    Hoping for a good report mbs. This is all so new to your sister.  Give her time and she will come around to wanting to know more. As some who had issues with family on this matter.  Be very careful not to come off as "all knowing".  Just act like you been playing of the internet trying to learn more and made some friends and found out some valuable info.   But keep it low.  It is some what over powering to find everyone thinks they know more than the patient.

    Also let her know when she is up to it we would love to have her join us.

    Flalady

  • mybeautifulsister
    mybeautifulsister Member Posts: 142
    edited June 2009

    Thaks Flalady,

    You are so right!!! I have to be very careful, she likes the idea of me finding info for her, but sometmes it is to much overload. I have told her she should think about joining in on these boards because it can also be very comforting,as well as informative. I hope she will consider to join sometime.  I needed not only for her but for myself as well to join here  so I could learn how to better take care of her and to help myself  understand  about B/C  and the treatments etc, there is just so much to absorb!! I show her almost all the posts or questions I ask, she will ask me to ask a certain question at times!!! She emotionaly is holding on by a thread, she was only married 3 months when DX, and the marriage at this point is very rocky and she is heartbroken, so I am very gentle with her. Thank you so much for your kind words, and thoughts I welcome them anytime.

    Deb 

  • PATTY50
    PATTY50 Member Posts: 75
    edited June 2009

    Hi Deb, You did the right thing contacting the ONC.  Your sister is so lucky to have you looking out for her right now.  I went through an IBC scare a couple of months ago, luckily it turned out to be contact dermititis.  It looked like an orange peel and even my ONC sent me to a dermatologist after looking at it because is wasn't sure.  Hopefully yours sister's rash will be a false alarm. I will keep her in my prayers. 

  • mybeautifulsister
    mybeautifulsister Member Posts: 142
    edited June 2009

    Thank you Patty,

    I am just keeping my fingers crossed!!! A false alarm would be perfect!!!

    Deb

  • KPolasek
    KPolasek Member Posts: 184
    edited June 2009

    Hello everyone .....

     I was diagnosed with Invasive Ductal Carcinoma in 10/07, lumpectomy 11/1/07, Chemo started 12/26/07 and ended 2/26/08, Radiation 33 treatments ending 5/08.  I have had at times extreme breast pain ... I feared recurrent cancer in the breast ... I had an ultrasound, digital mammogram and an MRI .... nothing found.  I resigned myself to a life filled with pain.  Then I read about lymphedema in the chest wall ... I requested to be and was referred to a physical therapist who specializes in manual lymphatic drainage.  I still continue to have pain .....

    Desperate I asked for a referral to a plastic surgeon who has done uncounted breast reconstruction.  Hedid my carpal tunnel surgery and is an awesome doc.  I saw him today and he was dumbfounded by the appearance of my breast.  He said that what I have is NOT lymphedema but edema.  He said that the area that is swelling is NOT impaired from draining into the lymphatic system (not lymphedema).  He mentioned several things that could cause what is happening with me ... the surgeon left a thin flap of skin, an infection, or possibly IBC.  Needless to say, I am beside myself.  He told me that he would be talking with my surgeon, dermatologist, and others about what he sees.  Then, he will let me know what he thinks I should do.  He said that a biopsy will probably need to be done but he fears that it will cause an open wound, the caving in of the breast and possibly ending with removing my breast.  I told him that we will do what we need to do ... I need to know what is going on.

    I have finally found the right doctor but am not excited what he had to say :o(

    Anyone out there experience something like this?  

  • mybeautifulsister
    mybeautifulsister Member Posts: 142
    edited June 2009

    Dear K,

    So sorry you are going through this. I can`t offer any explanation or inclination, but please keep us posted and I pray that you get some pain relief and good news.Go to the IBC site if you haven`t already and they will help you with all kinds of info.

    Deb

  • KPolasek
    KPolasek Member Posts: 184
    edited June 2009

    Thanks Deb!

     I spoke to my plastic surgeon .... he has spoken with all of my doctors and their conclusion is that when the general surgeon did the lumpectomy he had to go too close to the upper skin layer to get a clear margin.  Therefore, this is edema and will be something that I will have to live with for the rest of my life.  He has referred me to another general surgeon to get a second opinion ....

    My plastic surgeon did say that it would be TOO dangerous to try to do a reduction or any other kind of reconstructive surgery.  I wish that I had known that the radiation would destroy my chances of a breast reduction .... I had thought about doing one right before I found out that I have cancer.  Oh well .... I guess that this is better than the alternative.

     Love and blessings,

    Kay

  • mybeautifulsister
    mybeautifulsister Member Posts: 142
    edited June 2009

    I don`t understand how they could not explain that about the radiation, how awful. I would definetly seek a 2nd opinion. There should be something someone can do, get a 3rd and 4th opinion if neccesary. Keep us posted,

    xo

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