Lateral Intercostal Artery Perforator Flap for Breast Cancer: A Case Report from Oman

Abstract

Breast cancer is the commonest cancer in females. Historically, breast cancer surgery (BCS) was not considered a safe option, until 20 years back when those concerns were dismissed by the introduction of several surgical techniques. Today, women living in countries with fairly advanced healthcare systems, have the option of getting surgical treatment that is both safe and aesthetically pleasing. One of the promising surgeries being discussed in literature and is not widely practiced worldwide is the Lateral Intercostal Artery Perforator Flap (LICAP) flap. We present a case of a 52 y/o lady who self-presented to the Breast Surgery Outpatient Department (OPD) after she noticed a mass on her left breast. The patient was willing for BCS as she was particularly concerned about cosmesis. LICAP flap surgery was performed and the results were remarkable. LICAP flap is a surgical technique that, despite it requiring sharp surgical skills, continues to be a promising addition to the BCS options for women with breast cancer. With good planning and using intra-op ultrasound it can be the preferred choice for many patients.