"Diagnóstico y tratamiento de carcinoma ductal de glándula mamaria"

Abstract

Introduction: Ductal carcinoma in situ is the most common cancer variety in mammary glandular tissue, which allows satisfactory management with good prognosis. It is necessary to identify factors related to healthcare services and critical points in the management of these patients in Napo province, to promote intervention strategies that improve the quality of healthcare and its prognosis. Objective: To describe the diagnostic and therapeutic management of a patient with mammary gland ductal carcinoma identifying opportunities for improvement in medical care. Materials and methods: Descriptive, retrospective study, clinical case presentation, secondary source, where the clinical history, laboratory and image results were reviewed and an interview with specialist doctors was made to discuss the clinical case. Results: A case of a 60-year-old female patient is presented admitted to the Oncology Hospital "SOLCA" Quito Nucleus referred to Archidona-Napo, due to increased volume and left breast spurt. Sample cytology was performed by FNA (positive), CORE-BIOPSY (negative) and imaging studies (suggestive of malignancy), for which tumorectomy was performed with histopathological diagnosis of ductal carcinoma in situ of the left mammary gland and immunohistochemistry HER2 positive. Due to the multifocality, metastasis was ruled out and a simple left mastectomy was performed. A multidisciplinary follow-up was carried out with extension studies, with the patient evolving favorably. Conclusions: Ductal carcinoma in situ has a good prognosis when adequate diagnostic and therapeutic management is carried out. It is necessary to continue promoting prevention campaigns in the Province of Napo, Ecuador and to improve some critical points of the health care of oncological patients in this locality.