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INFLAMMATORY BREAST CANCER

• Same as Locally advanced breast cancer management


• Same work up
• Initial management is with chemotherapy
◦ Antrhacycline + Taxane preferred
◦ If HER2 positive → Trastuzumab + Pertuzumab both should ideally be given
• Check response
• If responded
◦ Mastectomy + Axillary clearance
◦ Followed by radiation to chest wall, supraclavicular area + internal mammary nodes if they are
involved
◦ Delayed breast reconstruction
◦ Then proceed to adjuvant
‣ Complete planned chemotherapy regimen
‣ Endocrine therapy if ER/PR +ve to be given sequentially after CT is over
‣ Trastuzumab + Pertuzumab to be completed for a period of 1 year
• If no response
◦ Consider addition chemo + RT
◦ If responded → above management
◦ If no response → individualized management

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