Abstract
Introduction: Rescue Mastectomy (RM) is the surgical technique that is indicated in patients with local recurrence after conservative treatment and with little response to neoadjuvant therapy. The aim of this study is to present a series of rescue mastectomy cases, describe the flaps used in these surgeries and the prevalence of this type of surgery.
Methods: This descriptive and retrospective study collects information from patients treated at the Mastology Service of Solca-Guayaquil during the period from January 1 to December 31, 2015. They reported histopathological diagnosis of mammary carcinoma and were enrolled clinically in stage IIb , III and IV. Univariate statistics are used.
Results: The prevalence of MR was 14/610 cases (5.32 %). In the present case series, 57 % were resolved with tension flaps and 14 % was resolved with a latissimus dorsi flap. The final result at 18 months after surgery 3 patients died, 3 patients without tumor activity, and 6 patients with loss of follow-up. The highest incidence of cases according to their histology was infiltrating ductal carcinoma.
Conclusion: RM has a low prevalence, in this series most cases were resolved with tension flaps.