Introduction
Axillary lymph node dissection (ALND) is a surgical procedure performed to remove lymph nodes from the axilla (underarm area) to evaluate and control the spread of breast cancer.
It is typically recommended when cancer involvement of the lymph nodes is confirmed or strongly suspected, or when sentinel lymph node biopsy indicates significant nodal disease.
ALND plays an important role in accurate cancer staging, local disease control, and treatment planning.
While more extensive than sentinel lymph node biopsy, it remains a necessary and effective procedure in selected breast cancer cases.
Türkiye is a trusted destination for comprehensive breast cancer surgery, offering experienced breast surgeons, advanced surgical facilities, and multidisciplinary oncology care.
Averia Health supports international patients through a structured, ethical, and fully coordinated axillary lymph node dissection journey, prioritizing safety, clarity, and continuity of care.
Why Choose Türkiye for Axillary Lymph Node Dissection
Türkiye is internationally recognized for advanced breast cancer surgery because of:
- Highly experienced breast and oncologic surgeons
- Modern surgical and anesthesia technologies
- Integrated breast cancer care teams
- Internationally accredited hospitals
- Strong pathology and diagnostic support
- High surgical safety standards
Türkiye combines clinical expertise with patient-focused surgical care.
Why Choose Averia Health
Averia Health provides comprehensive coordination for axillary lymph node dissection:
- Pre-arrival review of imaging, pathology, and staging
- Referral to specialized breast and oncologic surgeons
- Multidisciplinary coordination (surgery, oncology, radiology, pathology)
- Clear explanation of the procedure and its implications
- Personalized treatment planning
- Professional interpreter services
- 24/7 patient support during your stay
- Post-operative follow-up and international oncology coordination
Our approach emphasizes informed decision-making and ethical care.
Conditions Requiring Axillary Lymph Node Dissection
Axillary lymph node dissection may be recommended for:
- Breast cancer with confirmed lymph node metastasis
- Positive sentinel lymph node biopsy with significant disease burden
- Locally advanced breast cancer
- Recurrent breast cancer involving axillary nodes
- Selected cases after neoadjuvant therapy
The indication is determined based on pathology results, imaging, and overall treatment strategy.
Types of Axillary Lymph Node Dissection
Level I and II Axillary Dissection
Removal of lymph nodes located in the lower and mid-axilla, most commonly performed.
Extended Axillary Dissection
Includes higher-level lymph nodes in selected advanced cases.
The extent of dissection is carefully planned to balance oncologic control and risk reduction.
Diagnostic Evaluation Before Surgery
Preoperative assessment may include:
- Breast imaging (mammography, ultrasound, MRI when indicated)
- Axillary ultrasound with biopsy if suspicious nodes are present
- Pathology results from primary tumor and lymph nodes
- Assessment of response to prior treatments, if applicable
- Pre-anesthesia medical evaluation
Accurate staging ensures appropriate surgical planning.
Treatment Journey in Türkiye
- Pre-Arrival Case Review
Medical records, imaging, and pathology reports are reviewed before travel. - Breast Surgeon Consultation
The need for axillary lymph node dissection is confirmed and explained. - Personalized Surgical Plan
The extent of node removal and potential risks are discussed clearly. - Axillary Lymph Node Dissection Surgery
Performed by an experienced surgeon, often in combination with breast surgery. - Post-Operative Care & Monitoring
Pain control, wound care, and arm mobility support are provided. - Follow-Up & Oncologic Continuity
Pathology results guide further systemic or radiation therapy if required.
Expected Results & Benefits
- Accurate assessment of lymph node involvement
- Improved local disease control
- Clear pathological staging
- Guidance for additional cancer treatments
- Reduced risk of regional recurrence
ALND supports comprehensive and personalized breast cancer management.
Risks & Considerations
Axillary lymph node dissection is effective but may involve potential risks, including:
- Arm swelling (lymphedema)
- Temporary or permanent numbness
- Reduced shoulder mobility
- Infection or fluid accumulation (seroma)
- Post-operative discomfort
Preventive measures, physical therapy guidance, and careful surgical technique help minimize complications.
What’s Included in Your Medical Trip
- Airport pickup and local transfers (if applicable)
- Breast surgery consultation
- Imaging and pathology review
- Axillary lymph node dissection surgery
- Anesthesia and hospital services
- Post-operative medications and care instructions
- Interpreter services
- 24/7 patient support
- International follow-up and oncology coordination
Averia Health ensures coordinated, ethical, and patient-centered breast cancer care.
Frequently Asked Questions
Why is axillary lymph node dissection necessary?
It is required when lymph node involvement is confirmed or strongly suspected.
Is ALND always performed instead of sentinel lymph node biopsy?
No. ALND is usually reserved for cases with known lymph node disease.
Can ALND be performed with lumpectomy or mastectomy?
Yes. It is often done during the same surgical session.
What is the risk of arm swelling after surgery?
The risk exists but can be reduced with proper care and rehabilitation guidance.
Will I need additional cancer treatment after ALND?
Further therapy may be recommended based on pathology results.
Ready to Start Your Health Journey?
Receive comprehensive breast cancer staging and surgical care with expert axillary lymph node dissection in Türkiye.
Request a free case review or contact us on WhatsApp to speak with our breast care coordination team.
