Is it commonplace for surgeons not to remove lymph nodes with IBC because it is strictly for staging?

The standard treatment for IBC first consists of chemotherapy. After a response to chemotherapy is achieved, the standard surgical treatment is to remove both the breast and the axillary (under the arm) lymph nodes. Dissection remains a standard part of the surgical treatment of inflammatory breast cancer. Subsequently patients should receive radiation and, as Dr. Hortobagyi just mentioned, Herceptin and hormonal treatment when appropriate.