What is an axillary lymph node dissection?
An axillary lymph node dissection (ALND) removes a larger group of lymph nodes from the armpit when breast cancer has spread to them.
Who is it recommended for?
It may be needed if a biopsy or sentinel node biopsy shows significant cancer in the armpit lymph nodes, or if enlarged nodes can be felt during examination.
How the procedure is done
Incision
The surgeon makes an incision in the armpit, or extends the mastectomy incision.
Removal of the nodes
The lymph nodes within the fatty tissue of the armpit (levels I and II, usually 10 to 40 nodes) are removed and sent to the laboratory.
Drain
A small drain is placed in the armpit to remove fluid while the area heals.
Recovery timeline
- In hospital
The operation is usually done with your breast surgery, and you stay one or two nights.
- Weeks 1–3
The drain is removed when the fluid reduces. Gentle arm exercises help you regain movement.
- Weeks 3–6
Heavy lifting and strenuous arm movements are avoided for several weeks while the tissue heals.
Risks and side effects
The main long-term risk is lymphoedema (swelling of the arm), which affects roughly 15 to 25 in 100 people after ALND. Other possible effects include:
- Numbness or tingling in the upper arm
- Shoulder stiffness
- A collection of fluid in the armpit (seroma)
- Infection
Your surgeon will explain the specific risks for your case before you give consent.
What the Axillary Lymph Node Dissection package includes
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Hospital and medical care
Your private hospital room, nursing care, pre-operative tests, consultations with your surgeon, anaesthesia, the operation itself and the medication you take home.
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VIP transfers
A private driver meets you at the airport and takes you between the airport, your hotel and the hospital.
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Translator and companion
A medical translator at the hospital, and a companion can travel with you at no extra cost.
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Meals and comfort
Daily meals for you and your companion throughout your stay.
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24/7 patient coordinator
A dedicated coordinator answers your questions before, during and after your trip, in your language.
Axillary Lymph Node Dissection FAQ
How can I lower the risk of lymphoedema?
Avoid blood tests, injections and blood pressure readings on the affected arm, avoid tight sleeves and jewellery on that side, and follow the arm exercises you are given. Report any swelling early.
Will I need a drain?
Almost always. You will be shown how to look after it, and it is removed once the fluid reduces.
