Inflammatory Breast Cancer
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1 Inflammatory Breast Cancer
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3 Jaime G. de la Garza-Salazar Abelardo Meneses-Garcia Claudia Arce-Salinas Editors Inflammatory Breast Cancer
4 Editors Jaime G. de la Garza-Salazar, M.D. Department of Clinical Investigation Instituto Nacional de Cancerología-Mexico Mexico City Mexico Claudia Arce-Salinas, M.D., M.Sc. Department of Medical Oncology Instituto Nacional de Cancerologia-Mexico Mexico City Mexico Abelardo Meneses-Garcia, Ph.D., M.D. Department of Medical Direction Instituto Nacional de Cancerología-Mexico Mexico City Mexico ISBN ISBN (ebook) DOI / Springer London Heidelberg New York Dordrecht Library of Congress Control Number: Springer-Verlag London 2013 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, speci fi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on micro fi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied speci fi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a speci fi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (
5 I dedicate this book to all breast cancer patients from the Instituto Nacional de Cancerologia-Mexico whose encouragement helped me keep working until we completed this book, thanks to all. Dedicatoria A todas las pacientes con cáncer de mama de nuestro Instituto Nacional de Cancerología-México motivo de inspiración clínica y de investigación. Particularmente para mis primeras pacientes en 1970 y mis colegas oncólogos que creyeron y desearon junto conmigo romper un paradigma en el tratamiento del Carcinoma Infl amatorio de la Mama modelo de agresividad y mortalidad en el corto plazo. A ellas con mi más profundo respeto y admiración. Dr. Jaime G. de la Garza-Salazar. Editor en Jefe
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7 Preface To write a book about inflammatory breast cancer (IBC) is something that I have had in mind for many years Why now? Well, there are a very good number of reports, articles, and symposiums about this pathology; all of the publications available at present are fragmented; and there are hundreds or thousands of articles associated with locally advanced breast cancer (LABC). I have invited different experts from the Instituto Nacional de Cancerologia-Mexico to investigate and review the most recent information on IBC regarding epidemiology, histopathology, clinical diagnosis, radiology and imaging, chemotherapy, radiotherapy, molecular biology, target therapy, and follow-up. Major advances have been achieved over the past 42 years with respect to early diagnosis and immediate treatment with primary chemotherapy followed by surgery and radiotherapy. We are the pioneers in utilizing this different method of management (1970). In a report from the MD Anderson Cancer Centre, A.M. González-Angulo and G. Hortobagyi conducted a study to evaluate whether the survival of women with IBC treated at our institution has improved over the past 30 years. The median follow-up was 5.8 years (range, years). The median recurrence-free survival (RFS) duration was 2.3 years, and median overall survival (OS) time was 4.2 years. The conclusion: Data show that there has not been an important change in the prognosis of patients with IBC in the last 30 years. Clinical trials focusing on the management of this aggressive disease are warranted. The history at our Institute in Mexico is that 42 years ago, the majority of patients with IBC, following treatment with surgery and radiotherapy, were dead 1 year after diagnosis. We demonstrated then that administering primary chemotherapy followed with radiotherapy and surgery showed good results. This 6-year experience with 18 patients was presented at the American Society of Clinical Oncology (ASCO) meeting in Denver, Colorado, in At present and in our experience, there is no doubt that this method is indicated with anthracyclines as the central drug in any chemotherapy combination. Hope is sparked by the expectations of a future in which biological (target) therapies will improve complete responses as well as prolong the survival of persons suffering from IBC. Mexico City, Mexico Jaime G. de la Garza-Salazar vii
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9 Acknowledgments We would like to acknowledge the following people: Maggie Brunner (English translation and corrections), Sandra Garnica (secretarial work), Edmundo Alvarez (computer system advisor), and Daniel Dominguez (project manager). ix
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11 Contents 1 Introduction Jaime G. de la Garza-Salazar and Paula Juarez-Sanchez 2 Breast Cancer: Epidemiological Panorama and Opportunities for Prevention Nancy Reynoso-Noveron and Alejandro Mohar-Betancourt 3 Pathology of Inflammatory Breast Cancer Victor Manuel Perez-Sanchez, Hector Aquiles Maldonado-Martinez, Paula Juarez-Sanchez, and Abelardo Meneses-Garcia 4 Inflammatory Breast Cancer: Clinical Presentation, Diagnosis, Staging Evaluation, Differential Diagnosis, Surgical Treatment, and Follow-Up Juan Enrique Bargallo-Rocha, Robin J. Shaw-Dulin, Teresa Ramirez-Ugalde, and Angel Herrera-Gomez 5 Imaging in Inflammatory Carcinoma Yolanda Villaseñor-Navarro, Lesvia Olivia Aguilar-Cortazar, Irma Perez-Zuñiga, Roberto Alejandro Cruz-Morales, Cecilia Magdalena Pavon-Hernandez, Martha Patricia Perez-Badillo, and Jaime Ignacio Garcia-Gomez 6 Chemotherapy in Inflammatory Breast Cancer Claudia Arce-Salinas, Flavia Morales-Vasquez, Fernando Lara-Medina, and Silvia Patricia Villarreal-Colin 7 Radiotherapy in Inflammatory Breast Cancer Diana Vanesa Toledano-Cuevas, Aida Mota-Garcia, and Roque Alberto Guadarrama-Fleites 8 Recurrent Inflammatory Breast Carcinoma: Prevalence, Patterns of Recurrence, and Therapeutic Approach Juan Alberto Serrano-Olvera, Claudia Arce-Salinas, David F. Cantu-de Leon, Luis Alonso Herrera-Montalvo, and Jaime G. de la Garza-Salazar xi
12 xii Contents 9 The Molecular Biology of Inflammatory Breast Cancer Horacio Astudillo-de la Vega, Erika Ruiz-Garcia, Paula Juarez-Sanchez, Jaime G. de la Garza-Salazar, and Oscar Gerardo Arrieta-Rodriguez 10 Target Therapy in Inflammatory Breast Cancer Flavia Morales-Vasquez, Horacio Noe Lopez-Basave, Claudia Arce-Salinas, Jose Luis Aguilar-Ponce, and Oscar Gerardo Arrieta-Rodriguez 11 Follow-Up in Inflammatory Breast Cancer Flavia Morales-Vasquez, Horacio Noe Lopez-Basave, and Martin Granados-Garcia Index
13 Contributors Lesvia Olivia Aguilar-Cortazar Department of Radiology, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Jose Luis Aguilar-Ponce, M.D. Department of Medical Oncology, Claudia Arce-Salinas, M.D., M.Sc. Breast Tumor Department, Instituto Nacional de Cancerologia-Mexico (INCan), Mexico City, DF, Mexico Department of Medical Oncology, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Oscar Gerardo Arrieta-Rodriguez, M.D. Department of Investigation, Horacio Astudillo-de La Vega, M.D., M.Sc., Ph.D. Laboratory of Translational Research in Cancer, Oncology Hospital, National Medical Center Siglo XXI, Instituto Mexicano del Seguro Social (IMSS), Mexico City, DF, Mexico Juan Enrique Bargallo-Rocha, M.D. Breast Cancer Department, Silvia Patricia Villarreal-Colin, M.D. Department of Medical Oncology, Breast Tumor Department, Instituto Nacional de Cancerología-México (INCan), Mexico City, DF, Mexico Roberto Alejandro Cruz-Morales Department of Radiology, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Jaime Ignacio Garcia-Gomez Department of Radiology, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Martin Granados-Garcia Department of Surgical Oncology, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Jaime G. de la Garza-Salazar, M.D. Department of Clinical Investigation, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico xiii
14 xiv Contributors Angel Herrera-Gomez, M.D. Department of Surgical Oncology, Roque Alberto Guadarrama-Fleites, M.D. Department of Radiation Oncology, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Luis Alonso Herrera-Montalvo, Ph.D. Department of Biomedic Research in Cancer, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Paula Juarez-Sanchez, M.D. Department of Pathology, Instituto Nacional de Cancerologia-Mexico (INCan), Ssa, Mexico City, DF, Mexico David F. Cantu-de Leon, Ph.D. Gynecologic Tumors Department, Clinical Research Department, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Horacio Noe Lopez-Basave, M.S. Department of Oncological Surgery, Hector Aquiles Maldonado-Martinez, M.D., Ph.D. Department of Pathology, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Fernando Lara-Medina, M.D. Department of Medical Oncology, Abelardo Meneses-Garcia, M.D., Ph.D. Department of Medical Direction, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Alejandro Mohar-Betancourt, M.D., Ph.D. Department of General Direction, Instituto Nacional de Cancerología, Mexico City, DF, Mexico Unit of Biomedical Research in Cancer, Instituto Nacional de Cancerología (INCan) Flavia Morales-Vasquez, M.D., M.S. Department of Medical Oncology, Aida Mota-Garcia, M.D. Department of Radiation Oncology, Cecilia Magdalena Pavon-Hernandez Department of Radiology, Martha Patricia Perez-Badillo Department of Radiology, Victor Manuel Perez-Sanchez, M.D. Department of Pathology,
15 Contributors xv Irma Perez-Zuñiga Department of Radiology, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Maria Teresa Ramirez-Ugalde, M.D. Breast Tumor Department, Nancy Reynoso-Noveron Department of Breast Tumors, Instituto Nacional de Cancerología, Mexico City, DF, Mexico Universidad Nacional Autónoma de México (UNAM), Mexico City, DF, Mexico Erika Ruiz-Garcia Translational Research in Cancer, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Juan Alberto Serrano-Olvera, M.D. Clinical Research Department, Robin R. Shaw-Dulin, M.D. Breast Tumor Department, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Diana Vanesa Toledano-Cuevas, M.D. Department of Radiation Oncology, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico Yolanda Villaseñor-Navarro Department of Radiology, Instituto Nacional de Cancerologia-Mexico, Mexico City, DF, Mexico
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