Inflammatory breast cancer: Primarily a clinical diagnosis

• Infrequent form of invasive breast carcinoma (<1%)
  • Increased volume and induration of the breast
  • Increased temperature, Tenderness or pain
  • Peau d’orange or cutaneous edema, redness of the skin of at least one-third of the breast
  • The presence of a palpable ridge at the margin of induration

• Inflammatory breast cancer T stage : T4d
  
  ** Primary breast cancer + dilated dermal lymphatic vessels **

Imaging finding

• MG
  • diffuse skin thickening, increased density, trabecular thickening, axillary lymphadenopathy with/without associated mass or malignant calcifications
• US
  • Marked skin thickening
  • Parenchymal acoustic shadowing
  • Hypoechogenic areas that did not demonstrate a mass configuration are localized close to the skin
• MR
  • Dilatation of subcutaneous lymphatic vessels, edematous change of breast and chest wall
  • Optimal for evaluation of neoadjuvant therapy

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