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One hot swollen breast can possibly be mastitis, a benign breast infection, BUT if one round of antibiotics does not help, insist on a skin or punch biopsy to rule out IBC. Symptoms of Inflammatory Breast cancer (IBC) may include redness, swelling, and warmth in the breast, often without a distinct lump in the breast. The redness and warmth are caused by cancer cells blocking the lymph vessels in the skin. The skin of the breast may also appear pink, reddish purple, or bruised. The skin may also have ridges or appear pitted, like the skin of an orange (called peau d'orange), which is caused by a buildup of fluid and edema (swelling) in the breast. Other symptoms include heaviness, burning, aching, increase in breast size, tenderness, or a nipple that is inverted (facing inward) (3). These symptoms usually develop quickly—over night or over a period of weeks. Swollen lymph nodes may also be present under the arm, above the collarbone, or in both places. However, it is important to note that these symptoms may also be signs of other conditions such as infection, injury, or other types of cancer (1). You should see a doctor to rule out IBC.

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Q: What if you have one hot swollen breast?
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