Breast cancer is the most common among women worldwide, accounting for 16% of all female cancers. Due to the new modality, in Ecuador, public health services have been restricted or are being carried out through telemedicine, which greatly affects patients suffering from cancer. The objective of this article is to establish the management of breast cancer during the COVID-19 pandemic, by reviewing the scientific literature from the last 4 years. For this research, the analytical - synthetic method was used and data collection techniques is the bibliographic - documentary. The search and review of scientific articles in indexed journals, published in the last 4 years, was carried out. Before making a decision about the management of the person with Ca, the risks of starting or continuing treatment against Ca should be discussed with him, taking into account that the therapies are most of the time systemic, increasing the risk of have further complications if you become infected with the coronavirus. In conclusion, for adequate management of women suffering from breast cancer, it is necessary to comply with the general recommendations for cancer patients, having the main concern in determining the risk benefit of the treatment, taking into account the patients opinion about it, prior discussion on the subject with the patient. As a relevant point, the risk of contagion of Covid-19 must be minimized, complying with the protocols and reducing the visit time to the Health Center as much as possibleKey words: Breast cancer, management, treatment, covid-19, women.