Question about IBC during treatment

Options
SSIrish
SSIrish Member Posts: 7

Hello ladies,

I'm wondering if anyone presented symptoms of IBC while they were in treatment?  During my 3rd treatment of AC, i noticed the bottom of my breast was pink and looked like it had ridges.  During that trewtment I experienced extreme edema in my entire chest area.  My lump-

Ectomy scar is very close to this area.  During week two my edema went down a lot but noticed it was slightly in my arm.  I wear a beaded bracelet and it was leaving a slight mark.  My onc looked at it and said no way because I am in the middle of treatment.  It just doesn't look right.  I don't have pain in the area.  I had some pain one afternoon in the inside area where the scar is.  I would appreciate hearing from anyone who has maybe gone through this...I also thought of Lymphodema.

Comments

  • mrsnjband
    mrsnjband Member Posts: 1,409
    edited March 2011

    I suppose it could be possible to develop IBC during treatment but I couldn't say for sure. My IBC symptoms were part of my diagnosis.  

    I can think of two possible reasons for your symptoms. One could be lymphedema, I have LE in my arm & truncal area but I didn't have any redness just swelling and pain.

    Second possible cause is cellulitus, which is an infection in the skin. I have had a couple of bouts of this post cancer treatment.  I have a lot of redness, fever & swelling. 

    One thing I have learned in the last 3 1/2 years is to trust your gut. If you feel like what you are having is more than your onco thinks, then find someone else who will listen and look into your symptoms. 

    So sending you lots of love & support. NJ

  • leisaparis
    leisaparis Member Posts: 587
    edited March 2011

    Yes, It is possible. I'm not sure how many there are, but quite a few other women on here have had the same thing happen to them. Right during treatment they found out they also were having other symptoms. Come to find out they also had IBC. I'm sure one of them will come along and talk to you. Good Luck.

  • SSIrish
    SSIrish Member Posts: 7
    edited March 2011

    I feel like I have read where girls have shown IBC symptons during radiation, not during chemo. I'm curious and concerned....

  • gracefarm
    gracefarm Member Posts: 17
    edited March 2011

    SSIrish, I would be concerned too, and get another opinion. IBC seems to refuse to conform to the "rules" humans set up for it; it's awfully unpredictable. And when a doctor's answers ("no way") are so definitive, that's (to me) a red flag of not understanding IBC's behavior and quirks.

    I didn't have recurrence during treatment but intstead 5 months after chemo ended and 3 months after mastectomy. Doctors very surprised by the speed of recurrence. Now I'm on new chemo and have had good response.

    Hang in there,

    Kim in Ohio

  • Dlia
    Dlia Member Posts: 191
    edited March 2012

    Hi ladies, I was diagnosed with breast cancer June 2011. I had a lumpectomy, did 6 chemo treatments and I'm still doing herceptin untl Sept of 2012. After healing from the lumpectomy I noticed that my breast area not the nipple was red and looked like my pores were open and the nipple was flat. I didn't think too much of it because I thought this from the surgery. Now six months after the surgery it's still the same but now the area around the nipple is thick, rough, dark and much larger than the other even after the surgery. I haven't talked to my surgeon/oncologist because I thought that when he looked at it he would've noticed it. But my oncologist hasn't noticed it either. I'm scheduled for a double mastectomy on the 19 of March. I have an appt with my gyn this friday for my annual. I can't say this is really nothing because my sister just got finished with chemo and they found two new nodules on her lungs so I guess it can happen while doing chemo but I pray not... I said all of that to ask does my symptoms sound like IBC? I was diagnosed with lymphedema in January. I have had pain in that breast well before being diagnosed but was told pain in the breast is not an indicator of anything.

  • Faith316
    Faith316 Member Posts: 2,431
    edited March 2012

    I replied on your other thread.  It gets a little confusing when you have the same question posted multiple places.  Makes it hard for people who are responding to see what others have written.  Maybe just stick with your other thread and just use that one.  Just my opinion.

  • anonymice
    anonymice Member Posts: 532
    edited March 2012

    Yes, it could be IBC - you can develop it at any time.  Your doctor is absolutely incorrect and such a statement proves his lack of knowledge about IBC...but such symptoms usually are *not* IBC, regardless.  

  • Dlia
    Dlia Member Posts: 191
    edited March 2012

    Me Her2 and two of my sisters all were diagnosed with bc and doing treatment at the same time. One sister ER is finished her chemo and radiation and now just doing the tamoxifin. The other sister's Her2 came back for the third time and is in her lungs, liver and spine... So if this is IBC this will be another rough blow to our family. It's on both sides of the family. My mom's sister ER and her daughter had Triple negative and two of my dads sisters, two of their daughters and one of her daughters... I'll keep you all posted and thanks for the info!!

  • Binney4
    Binney4 Member Posts: 8,609
    edited March 2012

    Dlia, you do need to bring it to the attention of your doctors, the sooner the better. If they're not willing to deal with it, or if they dismiss it, another opinion would be in order.

    That said, what you're describing are also symptoms of breast lymphedema: skin discoloration, thickening of the skin, peau d'orange texture, and swelling. Pain is very often present with breast or chest lymphedema as well; it is nerve-type pain that does not respond well to pain meds and may tend to "move around" from one area of the breast to another.
    http://www.stepup-speakout.org/breast_chest_trunckal_lymphedema.htm

    If you've already been diagnosed with lymphedema, how have you been treated for it? Do you have a well-qualified lymphedema therapist? What does she say about this?

    Gentle hugs,
    Binney

  • Dlia
    Dlia Member Posts: 191
    edited March 2012

    My breast hurt so bad that I went to the ER the did a chest Xray and blood work but he said he didn't think it was anything to be concerned with. He did notice the redness, flat nipple and that this breast is much bigger than the other one. He gave me a RX for pain, antibiotics and some anxiety meds to make me sleep. I didn't fill any of them I don't want something for pain I want to know why I have the pain and why give me an antibotic if you don't find anything. He told me to followup with my oncologist in the morning to see if she wants to do a MRI or Ultrasound. SMH...

    @ Binney, I do have a lymphedema therapist but she wants to wait until I finish with my surgery.

  • Binney4
    Binney4 Member Posts: 8,609
    edited March 2012

    Dlia, fill the antibiotic prescription and start it immediately. If there's an infection it needs immediate attention or you'll end up in the hospital on IVs. The redness and intense pain are both symptoms of cellulitis, which can spread rapidly and become systemic, and it's extremely common with lymphedema. Please don't wait on that one -- fill it and get started.
    Binney

  • Dlia
    Dlia Member Posts: 191
    edited March 2012

    OK... that's what he said it could be. Thanks Binney!!

  • Racy
    Racy Member Posts: 2,651
    edited March 2012

    Hi SSIrish, today I have exactly the same symptoms as you. I completed active treatment of lumpectomy, chemo and rads in July 11. Symptoms the same as you described appeared in November. I went to the ER and my breast was examined by three ER doctors, then GP, with referrals to and examinations also by BS and RO. I also had an ultrasound and blood tests when at the ER. I was not given a defininitive diagnosis but was treated with antibiotics as a possible case of cellulitis and the redness etc cleared within days.



    All was fine when my MO examined me in January.



    A few weeks ago I noticed what may have been the start of another flare-up, though very mild. I did some breast massage and it went away.



    Symptoms have returned as of yesterday. I have a GP appointment today so will get further direction then. I do have a prescription of antibiotics on hand which I can take if GP agrees.



    In your case, I suggest seeing your BS for another opinion, and whoever is treating you for the lymphedema.



    Let us know how it goes and I will do the same as our symptoms are very similar.

  • Binney4
    Binney4 Member Posts: 8,609
    edited March 2012

    Wow, Bon, I'm really sorry to hear about your friends' progression!Frown And I sure do agree with you that checking out concerns about IBC is crucial, though at the moment it's also crucial for Dlia and Racey to get prompt help to avoid systemic infection. Cellulitis can spread rapidly and, left untreated, it's fatal.

    You're right that lymphedema is staged, but the stage of lymphedema is not determined by the size of the arm. Most women who develop LE are unlikely to have massive arms even if it's untreated. Usually they swell to a certain point and no further. LE is staged to indicate progression and, just like with BC, those stages are not visible without testing and treatment.

    Progression with LE is about tissue damage that is being done INSIDE our bodies because there is stagnant lymph fluid sitting around in the tissues. That lymph fluid sets up an inflammatory response that creates fibrosis and abnormal fat deposits below the skin. With time, if the condition is not treated, the inside tissue hardens, which will eventually lead to loss of arm strength and range of motion, further lymphatic blockage, and finally to changes in skin texture and discoloration, unhealing sores, and leakage of caustic lymph fluid through the pores. Stagnant lymph fluid is also a breeding ground for bacteria, so all of us with lymphedema run a higher risk of serious infection. Proper treatment lowers that risk considerably.

    That said, proper treatment can be hard to find, and it sure sounds like your friends have not found it. Here's information you can pass along to them about how to find a well-trained lymphedema therapist near them, what kinds of questions to ask her/him, and what to expect from treatment:
    http://www.stepup-speakout.org/Finding_a_Qualified_Lymphedema_Therapist.htm
    Any time a woman sees that kind of progression of her disease in spite of her best efforts at self-care, she needs to seek out a second, or even a third opinion. Our doctors are often not tuned into this, so it's up to us to make sure we get the best care possible to avoid the long-term dangers of LE.

    It's every woman's choice whether to treat her lymphedema or not, just as we choose whether to treat our BC or not, and which treatments we will or will not accept. We each decide based on our own values and preferences.

    But the important thing is that every women should know and understand what it is she's choosing, and with lymphedema, that information is hardly ever spelled out for us.

    Be well!
    Binney

  • Racy
    Racy Member Posts: 2,651
    edited March 2012

    I just realised that SSIrish's was an old post and she hasn't logged on since last May nor posted the diagnosis of her symptoms, which were similar to mine.



    I saw my GP today and we agreed to try antibiotics for 48 hours and if no improvement I will see my surgeon again.



    I don't have any pain or fever, just the redness from inflamed blood vessels under the skin and what look like swollen lymph channels.



    I'll keep posting to let you know what happens.

  • Binney4
    Binney4 Member Posts: 8,609
    edited March 2012

    Dlia, I'm worried 'bout ya!Frown Hope you're being well cared for, getting solid answers, and healing. Please let us know how you are.

    Racy, you too -- what news?

    Gentle hugs,
    Binney

  • Dlia
    Dlia Member Posts: 191
    edited March 2012

    I'm scheduled for an ultrasound on next Tuesday. I still have the pain but that's the closest appt they could give me. Is that how they determine IBC or Cellulitis?

  • Dlia
    Dlia Member Posts: 191
    edited March 2012

    They did a what they called an ultrasound where they just put the thing on literally one spot and said they didnt see anything. The surgeon said if it is anything it will show up on the pathology report. My surgery is on Monday the 19th. 

  • Dlia
    Dlia Member Posts: 191
    edited March 2012

    Getting a little nervous about the surgery since I don't have anyone here to help me after the surgery but my husband and he can't stand blood, hospitals, needles and anything else that has to do with it we'll see how this goes. Im praying that there be no infections, side effects, complications and little to no pain...

  • Dlia
    Dlia Member Posts: 191
    edited March 2012

    Thanks Bonnie!! I'm in VA. What is oopho?

Categories