The lymph nodes in the armpit are called axillary lymph nodes. An axillary lymph node dissection (ALND) is surgery to remove lymph nodes from the armpit (underarm or axilla). An ALND is also called axillary dissection, axillary node dissection or axillary lymphadenectomy. This surgery reduces the chance that the cancer could come back. It also helps to plan further cancer treatment.
If the cancer is found to have spread to the sentinel lymph nodes or other nodes in the axillary area, then the breast surgeon may recommend an axillary lymph node dissection. If only one or two sentinel lymph nodes contain evidence of cancer, then an axillary lymph node dissection may not be necessary.
If the patient is undergoing a modified radical mastectomy, the lymph node dissection usually occurs in the same operation. If the patient is undergoing a lumpectomy, the lymph node dissection may occur at the same time or in a later operation.
Dr. Naresh will explain you about the entire procedure of this surgery along with the risks, benefits and other options. The patient needs to inform the doctor regarding all the medicines that are on. Dr. Naresh Ledwani might advice the patient to stop taking some medicines that may interfere with the surgery. The patients are instructed exactly about when to stop eating and drinking.
The operation is performed under general anaesthesia. The surgery usually takes 1-2 hours to complete. Most surgeons make a 2–3-inch incision in the skin crease under your arm. Once the nodes are removed, it will be sent to a pathologist for examination. The patient may have a drain in their underarm.
The patient might feel weakness immediately after surgery and shoulder area might feel sore and stiff for a few days. A physiotherapist will teach the patient some arm exercises. There are chances of tingling, numbness, stiffness, weakness, or lymphoedema (swelling of the arm) in the affected arm. The scars fade over time. The patient can go back to normal life in 4- 6 weeks. An axillary node dissection may be done at the same time as other breast cancer surgeries. If this is the case, your recovery time may vary. Dr. Naresh will give more specific instructions to the patient and family about recovering from the surgery like diet, wound care, follow-up care, and driving, etc.
