What should I ask prior to breast cancer surgery about lymph node removal?

Another important discussion is to understand if the surgeon plans to remove any of your lymph nodes and how many. If your surgeon doesn’t volunteer this information, ask, “Do I need my lymph nodes removed? If so, how many?

Why?” Sometimes, a few lymph nodes are taken to check for more cancer, a procedure known as lymph node sampling, and other times all the lymph nodes under the armpit are removed. This is known as axillary clearance.Be sure your surgeon discusses whether or not he plans to remove any of your lymph nodes and how many during your upcoming breast cancer surgery.

If he is unsure at this point or if the answer is “yes,” ask these important follow-up questions, “Do I need my lymph nodes removed? If so, how many? Why?”

Sometimes, a few lymph nodes are taken to check for more cancer, a procedure known as lymph node sampling, and other times all the lymph nodes under the armpit are removed. This is known as axillary clearance. Also ask, “What will you do to preserve as many of my lymph nodes as possible?” and “Is a sentinel node biopsy an option in my case?”A sentinel node biopsy is a less-invasive way to check for cancer that may have spread to the lymph nodes.

Following injections with a tiny amount of radioactive liquid and dye into the area with cancer, the surgeon removes only the sentinel nodes so that they can be tested to see whether they contain cancer cells. The results of research trials suggest that sentinel node biopsy is as effective at detecting cancer cells in the lymph nodes as lymph node sampling or clearance.

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