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Abstract

Inflammatory breast carcinoma (IBC) is a rare and aggressive subtype of invasive breast cancer found in a small percentage of patients in the United States.The Rio Grande Valley is a region of Texas with pockets of low socioeconomic status and increased rates of obesity, a large risk factor for IBC. The cutaneous presentation of IBC is a tender, erythematous patch or plaque that surrounds hair follicles (referred to as peau d’orange) and is frequently edematous. Diagnosis requires a high clinical index of suspicion supported by a thorough patient history and pathology consistent with invasive carcinoma. This case study discusses a 59 year old overweight female patient with a sudden eruption of a rash that was clinically suspicious for inflammatory breast carcinoma and a biopsy which demonstrated breast adenocarcinoma confined to intravascular spaces. While rare, IBC has a high mortality rate and a higher likelihood of metastasis if not detected and treated in early stages of a patient's presentation.

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Inflammatory Breast Carcinoma in the Rio Grande Valley: A Case Report

Inflammatory breast carcinoma (IBC) is a rare and aggressive subtype of invasive breast cancer found in a small percentage of patients in the United States.The Rio Grande Valley is a region of Texas with pockets of low socioeconomic status and increased rates of obesity, a large risk factor for IBC. The cutaneous presentation of IBC is a tender, erythematous patch or plaque that surrounds hair follicles (referred to as peau d’orange) and is frequently edematous. Diagnosis requires a high clinical index of suspicion supported by a thorough patient history and pathology consistent with invasive carcinoma. This case study discusses a 59 year old overweight female patient with a sudden eruption of a rash that was clinically suspicious for inflammatory breast carcinoma and a biopsy which demonstrated breast adenocarcinoma confined to intravascular spaces. While rare, IBC has a high mortality rate and a higher likelihood of metastasis if not detected and treated in early stages of a patient's presentation.

 

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