Mokhtar Jonathan, Almarzooqi Shaikha, Tahlak Sara, Grassi Veronica
College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, ARE.
Department of Otolaryngology - Head and Neck Surgery, Dubai Health, Dubai, ARE.
Cureus. 2025 Apr 16;17(4):e82354. doi: 10.7759/cureus.82354. eCollection 2025 Apr.
Oncoplastic breast-conserving surgery (O-BCS) combines oncological safety with superior aesthetic outcomes, enabling women to maintain their breast contour following partial mastectomy and other procedures. The lateral intercostal artery perforator (LICAP) flap, a muscle-sparing technique, is a procedure that utilizes excess soft tissue below the armpit to fill the cavity remaining after a lumpectomy for tumors located in the outer quadrant of the breast. We present an exemplary case of a 45-year-old female who underwent O-BCS for multifocal invasive ductal carcinoma, followed by reconstruction with the LICAP flap. The patient exhibited exceptional aesthetic outcomes following the LICAP flap procedure, preserving a natural breast contour while achieving clear surgical margins and eliminating residual cancer tissue. The efficacy and versatility of the LICAP flap technique qualify it as an effective approach that addresses the reconstructive aspects of oncoplastic breast surgery, while also achieving a successful oncological response.
肿瘤整形保乳手术（O-BCS）将肿瘤学安全性与卓越的美学效果相结合，使女性在接受部分乳房切除和其他手术后能够保持乳房外形。外侧肋间动脉穿支（LICAP）皮瓣是一种保留肌肉的技术，该手术利用腋窝下方多余的软组织来填充乳房外象限肿瘤切除术后残留的腔隙。我们展示了一例45岁女性的典型病例，她因多灶性浸润性导管癌接受了O-BCS手术，随后采用LICAP皮瓣进行重建。LICAP皮瓣手术后，患者展现出了出色的美学效果，保留了自然的乳房外形，同时实现了清晰的手术切缘并清除了残留的癌组织。LICAP皮瓣技术的有效性和多功能性使其成为一种有效的方法，既能解决肿瘤整形乳房手术的重建问题，又能实现成功的肿瘤学治疗效果。
