IBC or just bad case of cellulitis

Hello all! New to this fourm and what an amazing place for people to come to dealing with the atrocities of this horrific diagnosis. I have a question for the nurses. (Or anyone with similarities!)

My mother is 62, She is very healthy, takes meds only for high blood pressure and chlosterol. Walks daily and is very active. Gets a regular Mammo every year and just had one in March. Posting in the lull period of waiting for results on breast punch biopsy and the needle one. (cant remember its name) But I’m going to give a backstory:

My mother has had an inflammed breast for 3 weeks. Red, hot, hard, and swollen. (did not have the ripples/dots, or orange peel look that ive seen in IBC photos.

On week 3, her doctor decided to prescribe her Amoxicillin. She took it for 4 days with no improvement. He then told her to go to the ER to get IV antibiotics. The ER admitted her so they could look into it. (Her PCP thought it was Mastitis Bursitis/celliutus which can mimic IBC - yes I have done countless hours of research lol)

She spent 4 nights in the hospital where they gave her a CT scan, Mammogram, Ultrasound, and took bloodwork. The CT Scan showed up with no abnormalities and the mammogram and ultrasound were also a bit hard to read, as her breast was so inflammed. She says she already has fiborous breasts as it is, so that was a bit of a let down for her to know they couldnt see anything due to inflammation. Her white blood cell count the first night was at a 11. After having 2 type of antibiotics (an iv drip and a push) interveniously (every 12 hours) - her WBC count came down to a 9 in 2days. From all my googling, I’m under the impression that with IBC, this would not show response as cancer is not an “infection” and there would be 0 improvement. After being released from the hospital on Friday, they told her to meet with a breast specialist PA Tuesday and she will be coming in outpatient for 4 weeks to get the same intervenous IV full of antibiotics.

I personally think her breast looks 50% better since having been in the hospital. It is not nearly as hard and it is way less red but still swollen. The doctor said that breast tissue is super hard and slow to get rid of infection since it is so dense.

We went to the breast specialist appointment Tuesday, where they gave her a breast punch biopsy and needle biopsy. (cant remember the exact name of it) The specialist wrote in her notes that patient only had erythema and hot breast. she marked none for dimples, ripples, peu de orange, or cysts/masses.

Anyways, I guess what I’m looking for is anyone who has dealt with IBC or mastitis bursitis. (since its so “rare”) The Infectious disease Doctor said that it is a rare case in either case (since IBC presents in younger women typically), but in his professional opinion thinks it is just an infection. My poor mother is distraught and I completely understand and wish I could simply take her place. But any kind of perspective from a nurse who has experience would be greatly appreciated!!

Hi panicpixianxiousgirl

Thanks for posting on our forum

We hope to be able to respond to you tomorrow.

In the meantime our helpline is open from 9am tomorrow.

If you do phone our helpline please let us know that you have asked a question on our forum so that we know your query has been answered. Thank you

With best wishes.

Lisa

Ask Our Nurses service co-ordinator

Please read the Ask Our Nurses disclaimer Full details on how we collect and use your data can be found in our Privacy Policy

1 Like

Hi @panicpixianxiousgirl whilst I can’t help in any way regarding IBC, once the lovely nurses have responded, they will close this thread and I wonder whether you could let us know how your mother gets on following the biopsies by starting another thread in any of the relevant categories and keeping us up to date there? I’m sorry that your mother is so distressed. Everyone on this forum will tell you that the time between tests and results is the worst possible time as the mind inevitably fills any gaps with worst case scenario. I do hope it turns out to be an infection only but if it turns out to be something else, once you have a treatment plan, things will become clearer and you’ll feel more positive. Keeping everything crossed for you both.

1 Like

Hi panicpixianxiousgirl

Thank you for posting. It sounds like your mother has been through a difficult time over the last few weeks and it is understandable that she is feeling distraught. As @Tigress says, waiting for biopsy results is a very difficult time and it is normal to feel anxious. Your mother may find these techniques for managing anxiety helpful whilst she waits for the results.

As you are aware, both inflammatory breast cancer and mastitis can present in a similar way with symptoms such as redness, heat and swelling. Antibiotics are usually given in the first instance and if the symptoms don’t improve further investigations such as a punch biopsy of the skin and a core biopsy of the breast tissue will be done, as in your mother’s situation. From what you say the redness has improved and the white blood cell count has decreased since your mother has taken antibiotics which is encouraging, however it is important to wait for the biopsy results to confirm the diagnosis.

You and your mother are welcome to call our helpline if you would like to talk this through or have any further questions. The helpline team have time to listen, talk things through and signpost you to more support and information if necessary. Your call will be confidential, and the number is free from UK landlines and all mobile networks. The number is 0808 800 6000. If you have hearing or speech difficulties prefix our number with 18001 and the call will go through Relay UK. Our helpline has access to telephone interpreters if language translation is required.

If you would prefer one of our nurses to call you. To do this, please complete this form ticking the box agreeing to a call back .

Our usual opening hours are Monday to Friday 9am - 4pm and 9am -1pm on Saturday.

Out of hours you can leave a message and we will call you back when we next open.

If you wanted to continue with the thread as @Tigress suggests this link might be useful

Best wishes

Katy

Breast Care Nurse

Please read the Ask Our Nurses disclaimer Full details on how we collect and use your data can be found in our Privacy Policy

As we are unable to monitor for further replies, this thread will now be closed. If you have any additional questions or would like to provide feedback, please start a new thread, call our helpline, email us or request a call back.