Correlación entre las características clínicas durante la rehabilitación y las tasas de supervivencia en 3 años del paciente con cáncer de mama ingresada en el Hospital Abel Gilbert Pontón entre 2014 y 2017.

Abstract

INTRODUCTION: Breast cancer is one of the main causes of mortality in Ecuadorian women. In recent years, an increase in mortatlity from this disease has been observed. The characteristics of each patient are different and the disease behavior has not been registered in Ecuador. METHODOLOGY: A retrospective study of female patients admitted or diagnosed at the Abel Gilbert Pontón Hospital with a diagnosis of breast cancer was carried out. RESULTS: A sample of 129 patients was obtained, 19% of them were positive for HER, 38% for hormone receptors, 13% for both subtypes and 32% negative for both, described as triple negative subtype. The lowest survival rates were observed in the triple negative with 66% (OR1.78, p = 0.78), the HER + subtype with 85% (OR0.38, p = 0.38) and the RH with 90% (OR0.16 , p = 0.16). Correlations were obtained between tumor progression in stage T and its progression at 3 years in relation to mortality (0.99) and metastasis (0.97). Likewise, having N1 and progression from stage T on admission correlated with evolution to M1 at 3 years (0.96). The tumor markers in relation to the progression of stage T at 3 years correlated with N1 (0.98) and M1 (0.95) at 3 years, and mortality (0.99). CONCLUSION: The cancer subtype, the initial T stage, the presence of N1 at admission and the elevation of tumor markers are the clinical characteristics with the greatest repercussions on survival and TNM progression.