Treatment
Multimodal therapy including chemotherapy with a combination of several agents, radiation therapy, hormonal therapy where appropriate and in some cases surgery.
Estrogen antagonist or aromatase inhibitors appear to improve outcome for ER positive cancer, similar for Herceptin.
Surgery was only rarely performed because inflammatory breast cancer is considered essentially a systemic cancer, however it may improve outcome and is now being reconsidered. A lumpectomy, when only a portion of the breast is removed, is not an option for IBC patients. A lymph node dissection is also recommended over a sentinel lymph node biopsy. Lymphedema, swelling of the arm and the hand on the side of the body where surgery was performed, may be a complication after a lymph node dissection. Reconstruction of the breast may be an option for healthy women after a mastectomy. However, for patients who smoke or have diabetes, complications are more common.
A number of promising new therapeutic agents exists, such as
- lapatinib - a Her2neu receptor antagonist
- various VEGF receptor antagonists
- tipifarnib - a farnesyltransferase inhibitor
Read more about this topic: Inflammatory Breast Cancer
Famous quotes containing the word treatment:
“A regular council was held with the Indians, who had come in on their ponies, and speeches were made on both sides through an interpreter, quite in the described mode,—the Indians, as usual, having the advantage in point of truth and earnestness, and therefore of eloquence. The most prominent chief was named Little Crow. They were quite dissatisfied with the white man’s treatment of them, and probably have reason to be so.”
—Henry David Thoreau (1817–1862)
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—Raymond Chandler (1888–1959)
“I will use treatment to help the sick according to my ability and judgment, but never with a view to injury and wrongdoing. Neither will I administer a poison to anybody when asked to do so, nor will I suggest such a course. Similarly, I will not give to a woman a pessary to cause abortion. I will keep pure and holy both my life and my art.”
—Hippocrates (c. 460–c. 370 B.C.)