Terrified I have IBC at 19
Hi everyone,
I am 19 years old, and have convinced myself I have IBC. My symptoms are only on my left breast and include a rash, flat puffy nipple, swollen breast, swollen underarm, slightly dimpled skin, tenderness under collarbone and slight back pain. I also experienced persistent itching before the symptoms started (around two months ago). I have been dismissed by the breast clinic due to my age and am awaiting a 2nd opinion, but I was just wondering if something benign could cause this. Every time I search my symptoms only two possibilities come up , infection and IBC, but I really don’t think I have an infection. Any advice is much appreciated.
Comments
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At your age, infection is much more likely than IBC.
When you say you were dismissed by the breast clinic, did you actually see a doctor or did they simply refuse to schedule an appointment?
Have you been examined by any doctor, even your PCP or Gyne? Have you had any screening done, such as an ultrasound?
From whom are you awaiting this second opinion?
Even if this is an infection, with the symptoms you describe, you need to be treated. So you need to see a doctor who takes this seriously and is looking for the cause and how to resolve whatever is happening.
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Hi Beesie, thanks for your reply! I was referred to the breast clinic where I was told that no tests needed to be carried out due to my age. Since this appointment my breast has become a lot more swollen and my nipple has changed more, so I am waiting to be referred back to the clinic where I am going to push for a biopsy. I really do hope it turns out to be an infection, however I am showing all symptoms of IBC
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TCRR - stop looking at Dr. Google. He doesn't have a clue what IBC is.
When was your first appointment when they said no tests? Recently? Did you see a GYN or a breast surgeon or what kind of doc?
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Hi MinusTwo,
My appointment was with a breast surgeon around 3 weeks ago. Since then my symptoms have got progressively worse and I’ve gone into panic mode. Googling my symptoms has definitely not helped either! Always seems to lead me to IBC. Trying to stop trusting everything I read online
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If I searched your symptoms I would likely find fungal (common athletes foot) skin infection, or something similar, which is very common because breasts stay damp and warm. Do you know a lot of (or any) 19 year olds with breast cancer, much less a rare breast cancer? I don’t.
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Did someone refer you to a breast surgeon? I would start with a Gynocologist, or your regular Dr... I went to my Nurse Practitioner...and she scheduled tests...a mammogram, ultrasound, blood tests, etc. Have you had any of this done? I did not see a breast surgeon until after I had a mammogram, ultrasound, and biopsy, and confirmed cancer, and then saw 2 oncologists, and then met with my surgeon. Maybe you got the horse before the cart?
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TCRR, to avoid being rejected because "You are too young for breast cancer", don't say you think you have IBC or ask for testing for IBC. Just say that something is going on with your breast and you want to find out what it is. The best way to diagnose IBC is with a punch biopsy and that's also the way to diagnose skin conditions. So focus on being diagnosed - for whatever might be causing your symptoms - and don't presume IBC or breast cancer. You are more likely to attention and the appropriate testing this way.
Was the appointment with the breast surgeon at the breast clinic? Did the breast surgeon do a physical exam? What doctor referred you to the breast surgeon and breast clinic?
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Hi TCRR,
There is definitely some good advice and comments to your post here. I'm surprised also that you saw a breast surgeon. I didn't see my surgeon until after I had had multiple tests - mammogram, ultrasound, biopsies, MRI, PETscan etc.
At 19 an infection is much more likely than IBC. As Beesie said, don't approach this with the mindset that you have IBC, but instead the mindset that you need a diagnosis. I see a lot of posts here with people who think they have IBC, and almost always they do not. It is a common fear, but not a common disease.
Hopefully you will be taken more seriously with your next appointment, but don't self diagnose.
Good luck and hopefully this is something minor that you will be able to clear up soon!
Blue
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I’ve been there- recently I was convinced I had IBC. Turns out there are many other things it’s far more likely to be. In my case, it just cleared away. My doctor now thinks it was a reaction to my toddler elbowing me in the breast. I couldn’t rationally come to that conclusion after reading google. Don’t google. Stay right away from it. And do as these lovely and extremely knowledgeable women say- get the doctor to find out what it really is.
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Hi everyone,
Thanks so much for all the replies! After reading through them I do feel a lot more optimistic about my situation. I definitely self-diagnosed myself way too early. In regards to the breast surgeon appointment, I am from the UK, so what usually happens is that you make an appointment with your GP and are then referred to the breast clinic for tests. Once I visited my GP, I was referred to the clinic, however I was told my appointment would be over a six week wait as it was classed as ‘non-urgent’. I was driving myself mad, so I made a private appointment with a breast specialist/surgeon. It was here I was given a physical exam and told that no tests would need to be carried out. I am hoping that I can be referred to the breast clinic again with a quicker wait time, since my symptoms have gotten worse. Does anyone have any statistics about IBC and age? I have been looking everywhere but can’t seem to find anything. Anyway, thanks again and I will keep the post updated.
T
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NCI information on diagnoses by age shows NONE for ANY breast cancer under age 20 and only about 10% of all cases diagnosed under age 45.
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The above advice is sound. Reread these posts if you need to...to find clarity and direction. Good luck to you
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And please, PLEASE come back & post the answer after you see the doc. It's not fair to leave everyone here hanging with your "terrified" post - not to mention those who might come in the future.
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Did you have an in-person appointment with your GP or telephone call? Did the GP actually see/touch the breast or did you just explain it over the phone?
I would go back to the GP and point out that your symptoms are worse, you had a private opinion regarding the potential for breast anomalies that they considered there werent any and what would be the next steps for infection. We just had a week of hot, humid weather in the UK so if its a fungal infection of some sort, I wouldn't be surprised if it spread in those conditions.
Please also remember that due to Covid there are a lot of people on NHS waiting lists with genuine symptoms of breast cancer, within high-risk age brackets, who will need to be seen on the quicker pathway because the likelihood that they actually have cancer and need to be treated ASAP is far, far higher than the almost miniscule likelihood you have IBC at 19. You can try for 2ww, but even if you got it you will likely get the same response at the NHS breast clinic as you did at the private clinic. The first stop at the breast clinic is a clinical exam, exactly like in the private clinic.
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UPDATE- I have a phone consultation with my GP on Monday morning.
In regards to the last post, I previously had two phone consultations, followed by a physical exam which then resulted in me being referred to the clinic. I am hoping that once I have the call on Monday, I will be able to get examined in person again due to the changes.
The symptoms I am most worried about are the swelling, dimpling and nipple change as they came on very suddenly and are getting worse by the day. The rash however has faded since I first noticed it and is mostly discoloured skin now. This is why I am scared it is not an infection. It feels like some sort of fluid build up in my breast and under arm.
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"Does anyone have any statistics about IBC and age?"
The average age of someone diagnosed with IBC is about 57. It's not completely unheard of for someone under 20 to be diagnosed with IBC but those cases are so rare that they probably make it into textbooks and medical journals. So we are likely talking about a handful of cases, ever.
To supplement MelissaDallas's information, here is another chart that looks at all cases of breast cancer (remember that IBC represents less than 5% of all breast cancers). This chart isn't the absolute number of breast cancer cases diagnosed, but is the number of cases per 100,000 people.
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TCRR, you have received excellent advice from everyone here.
If it turns out that you do not have IBC, I want to give you one more piece of advice: please enjoy your youth and your health, live life, and don't be dragged down by health anxiety. If you are having health anxiety, try to seek treatment for it.
Of course I can't know whether you truly are having health anxiety. Your current breast symptoms should be checked out, and it's true that sometimes young women are dismissed because of their age.
However, you still probably do not have IBC, and you might have health anxiety. I mention this because spent my 20s having health anxiety, and in retrospect I was perfectly healthy and wasted way too much time and energy on things I that never happened.
Best wishes to you and let us know how it goes.
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Hi Buttonsmachine!
Thank you so much for your reply! I appreciate your kind words and will take your advice onboard. In regards to health anxiety, I definitely feel like I could be experiencing this. There are times in the day where I think about my symptoms and feel an overwhelming sense of panic. I have spent hours and hours on google trying to find what’s wrong with me, even though I know deep down I am going to be shown the worst outcomes. The symptoms I am experiencing are massively affecting my day to day life whether it turns out to be cancer or not, so I will speak to my GP about this at my phone consultation on Monday. Thanks again!
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Wow, this is reassuring to know! I really wasn’t aware of how rare this is in teens! After reading through countless IBC stories, seeing these numbers makes me feel a bit better!
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Update- Had a phone consultation with my GP today, and am booked in for a physical exam tomorrow
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Good, it makes sense that your GP would want to see what you are concerned about.
Let us know how it goes!
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Update- Had appointment with my GP and she agrees the symptoms have gotten worse. Have been referred to the breast clinic again but not too sure on what the wait time is just now. Will keep the forum updated once I’m given my appointment.
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TCRR, I hope you find some answers soon, and that they are the answers we are hoping for!
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Update- Left breast has become extremely dry and shiny and looks a bit scaly. Does anyone know what causes dryness like this. I have used moisturiser all day but nothing seems to be working. I’ve heard this is another cancer symptom but don’t really want to google it again as I know it will come up with the worst scenario
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Beesie:
I think that chart is for all forms of cancer, if I recall correctly. The prevalence of cancer in men grows to exceeds that of women on it.
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TCRR - good girl - don't google. Call your doc and ask if a stronger OTC cream or maybe a prescription cream would help.
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WC3, thanks for catching that! I have edited that post and replaced the Total Cancers By Age chart with a Breast Cancer By Age chart.
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No problem. I deleted my post so we don't confuse people ☺
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Update- My appointment is on Tuesday next week. Hoping everything goes okay. It has now been 3 months since I first noticed the symptoms . Still not much improvement. Still swollen with some red spots, along with distorted nipple and a cold tingly feeling. Will update the forum again on Tuesday.
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Good luck at your appointment! Hoping for all the best news for you!
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