These photographs depict what are commonly called skin mets (metastases). Since Inflammatory Breast Cancer is in the lymphatic channels of the skin, local/regional recurrence in the skin is not uncommon, even after radiation treatments. The first photos are of early skin mets, the others are of more advanced cases of skin mets. When photos are of the same person, they are labeled Patient 1, Patient 2, and Patient 3. Thank you to the IBC patients who have provided these images for use on this web site.
Photos may not be used without permission. Contact the Inflammatory Breast Cancer Research Foundation for permission.
This is a close up view of skin mets nodules in and along the scar line. Also note the area of pink in a semi-circular shape above the scar.
This photo, of a different patient, shows the appearance of skin mets along the mastectomy scar line. Note both a diffuse red rash and small tumor nodules.
This photo is of another patient who had mastectomies for both breasts. Note the one red lesion to the right, near that mastectomy scar. Close to the mastectomy scar on the left, there are tumor nodules near and around that scar line, as well as up to u-shaped met on the collar bone.
Patient 1. Early development of skin mets, which appear similar to a rash.
Patient 1. Extensive skin mets rash on chest, shoulder, upper arm, and part of remaining breast, prior to her IBC diagnosis. This redness can be mistaken for something called “radiation recall,” so it’s important if a rash or redness persists that further investigation is undertaken.
Patient 1. Discoloration from skin mets to chest, under arm and upper arm is fading after chemotherapy.
PSkin mets on the upper arm.
Patient 2. This is the same person as in the photo above, but shows the extent of skin mets on both sides of her chest. The mastectomy for IBC was on the area to the viewer’s left.
Patient 2. This is a close up of skin mets on the collar bone. This is also shown in the photo above.
Patient 2. Skin mets appearing on a skin graft done after removal of previous mets to the right chest. Note additional skin mets on her left side, just above the under arm.
Patient 2. Close view of skin mets on contralateral (opposite) side of chest, just above left under arm. Same person as the 4 above photos.
Patient 3. Mastectomy and removal of all involved skin was done in November 2011,with a simultaneous tram flap reconstruction. In December 2011 a rash reappeared, and was treated with chemotherapy drugs used at that time: Eribulin, then Navelbine.
Patient 3. This photo was taken during the first chemotherapy for the skin mets.
Patient 3. The mets have spread and continued around to her back. The mets started out bright red, then became purple during treatment. If they responded well to the chemotherapy, they turned tan and stopped itching. This photo was taken several months after the first photo, during a different chemotherapy treatment.