Axillary Lymph Node Clearance

Axillary Lymph Node Clearance Surgery, also known as axillary lymph node dissection (ALND), is a procedure commonly performed in oncoplastic breast surgery to remove lymph nodes from the underarm area.

What is Axillary Lymph Node Clearance Surgery? 

Axillary Lymph Node Clearance Surgery is a surgical procedure aimed at removing a group of lymph nodes from the axilla (underarm area) to assess whether cancer cells have spread beyond the breast. It's typically performed in conjunction with mastectomy or lumpectomy for breast cancer staging and treatment planning.

Why is Axillary Lymph Node Clearance Recommended? 

Axillary Lymph Node Clearance is recommended for individuals with breast cancer to determine the extent of cancer spread and guide further treatment decisions. By examining the lymph nodes for the presence of cancer cells, healthcare providers can accurately stage the cancer and determine the need for additional therapies such as chemotherapy or radiation.

Before the Operation 

Before undergoing ALND, patients will have consultations with their healthcare team to discuss the procedure, potential risks, and expected outcomes. Preoperative imaging tests such as ultrasound or MRI and PET CT scan may be performed to assess the lymph nodes' size and location. Patients may also receive instructions on fasting before the operation and any medications they need to adjust.

The Operation 

Axillary Lymph Node Clearance Surgery is typically performed under general anesthesia. During the procedure, the surgeon makes an incision in the axilla and carefully removes a group of lymph nodes. The number of nodes removed can vary depending on factors such as the extent of cancer spread and the surgeon's judgment. The operation can take anywhere from 1 to 3 hours to complete.

Risks and Complications 

While ALND is generally considered safe, it carries risks like any surgical procedure. Potential complications may include bleeding, infection, damage to nearby nerves or blood vessels, lymphedema (swelling of the arm), shoulder stiffness, and seroma formation (fluid accumulation). However, these complications are relatively rare, and most patients recover without major issues.

After the Operation 

Following ALND, patients may experience temporary discomfort, swelling, or bruising in the underarm area. Pain relief medication will be provided as needed. Patients will receive instructions on wound care, activity restrictions, and follow-up appointments.

Expected Recovery Time and Results 

Recovery time after ALND varies from person to person but typically takes several weeks to months. Most patients can resume light activities within a few weeks but may need to avoid strenuous exercise or heavy lifting for a longer period. Results from the lymph node examination are usually available within 1 to 2 weeks, allowing healthcare providers to determine the cancer stage and plan further treatment accordingly.