Original Investigation

Survival and Treatment Patterns in Stage III Inflammatory and Noninflammatory Breast Cancer

JAMA Network Open 10.1001/jamanetworkopen.2026.5014

April 09, 2026 at 11:00 AM EDT

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Do breast cancer–specific survival (BCSS) and trimodality therapy (TMT) vary between inflammatory breast cancer (IBC) and non-IBC by tumor subtype and over time?In this population-based cohort study of 47 702 patients, patients with IBC had significantly worse BCSS than patients with non-IBC across all tumor subtypes. Between 2010 and 2020, TMT use among patients with IBC decreased significantly, from 33.9% to 24.2%, and there was no significant improvement in BCSS over time; however, BCSS improved significantly among patients with non-IBC.These findings suggest that patients with IBC have worse BCSS than patients with non-IBC across all tumor subtypes, receive TMT less frequently over time, and show no improvement in BCSS over time.

Corresponding Author: José P. Leone, MD, Department of Medical Oncology, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215 (josep_leone@dfci.harvard.edu).

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