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IBC grows and spreads quickly, so the cancer may have already spread to nearby lymph nodes by the time symptoms are noticed. This spread can cause swollen lymph nodes under your arm or above your collar bone. If you have any of these symptoms, it does not mean that you have IBC, but you should see a doctor right away. Sometimes a photo of the breast is taken to help record the amount of redness and swelling before starting treatment. Breast cancer is diagnosed by a biopsy , taking out a small piece of the breast tissue and looking at it in the lab. Your physical exam and other tests may show findings that are "suspicious for" IBC, but only a biopsy can tell for sure that it is cancer. The cancer cells in the biopsy sample will be graded based on how abnormal they look.