Lymph Node Surgery for Breast Cancer

Axillary Lymph Node Surgery in Breast Cancer

Axillary surgery plays a vital role in the diagnosis and treatment of breast cancer. It involves assessing and managing the lymph nodes in the underarm (axilla) to determine whether cancer has spread and to guide further treatment.

The choice of axillary procedure depends on the extent of disease and tumour biology, ensuring a personalised and effective approach for every patient.

At Breast & Wellness, we offer several modern and evidence-based options for axillary management:

Learn More about:

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• Sentinel Node Biopsy ›

• Axillary Lymph Node Dissection ›

• Targeted Axillary Dissection ›

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Sentinel Node Biopsy

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A sentinel lymph node biopsy (SLNB) is a minimally invasive procedure that removes the first few lymph nodes draining the breast — the ones most likely to contain cancer if it has spread.

If the sentinel nodes are clear, no further node removal is needed, which greatly reduces the risk of complications such as lymphoedema.

This procedure is now the standard of care for most patients with early breast cancer and clinically negative lymph nodes.

Read more about Sentinel Node Biopsy ›

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Axillary Lymph Node Dissection (ALND)

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An axillary lymph node dissection removes a larger group of lymph nodes when cancer has been confirmed in the axilla or in the sentinel nodes.

This provides important information for staging and treatment planning but is reserved for patients with proven node involvement.

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At Breast & Wellness, our team uses refined surgical techniques and offers lymphoedema assessment and prevention, including lympho-venous anastomosis (LVA) for suitable patients.

Read more about Axillary Lymph Node Dissection ›

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Targeted Axillary Dissection (TAD)

Targeted axillary dissection is an advanced approach that combines the precision of sentinel node biopsy with selective removal of previously marked cancerous lymph nodes.

It is especially useful for patients who have received chemotherapy before surgery and achieved a good response.

TAD allows accurate staging while preserving healthy lymphatic tissue, reducing the risk of arm swelling and shoulder stiffness.

Read more about Targeted Axillary Dissection ›

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Our Philosophy

At Breast & Wellness, we focus on individualised axillary management — balancing oncological safety with quality of life.

Our multidisciplinary approach integrates modern surgical techniques, pre- and post-operative lymphoedema assessment, and rehabilitation support to help every patient recover comfortably and confidently.