QuestionSBA
QuestionChoice
This is correct. This scenario describes rapid breast changes with a "peau d'orange" appearance most in keeping with inflammatory breast cancer, a fast-growing, aggressive form of breast cancer.
10035922
a
Inflammatory breast cancer
QuestionChoice
These are benign breast lumps which are small, mobile and painless.
10035925
d
Fibroadenoma
QuestionChoice
Inflammatory breast cancer is often misdiagnosed as mastitis, which more typically affects younger lactating women. The appearances in the vignette are more in keeping with breast cancer as opposed to mastitis. In equivocal cases, inflammatory breast cancer should be considered in cases of mastitis which do not respond to antibiotics.
10035923
b
Mastitis
QuestionChoice
This is breast pain that is associated with the menstrual cycle due to hormonal variation and can cause lumpiness and breast swelling but this would follow a menstrual history and would not cause the profound appearance changes that are described.
10035924
c
Cyclical mastalgia
QuestionChoice
These are benign tumours of fat (adipose) tissue which can occur in the breasts and tend to be painless, and mobile with no skin changes.
10035926
e
Lipoma
Concept
Chapter
2693
3779
Breast Cancer
Topic
151
Breast Disease
19588
Inflammatory breast cancer presents with rapid swelling, skin dimpling, erythema, and oedema, often resembling "peau d'orange".
A 48-year-old woman attends the GP worried about a swelling in her left breast which started a week ago. Inspection reveals a swollen painful left breast with significant skin dimpling and erythema with overlying oedema and nipple inversion.

What is the most likely diagnosis?
a