What is axillary lymph node dissection (ALND) in the surgical treatment of breast cancer?

Updated: Feb 13, 2019
  • Author: Mary Jo Wright, MD; Chief Editor: James Neal Long, MD, FACS  more...
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ALND is a complete en bloc removal of the level I and level II lymph nodes; the level III nodes are not removed unless suspicious or palpable adenopathy is present. All nodal tissue defined by the borders of the axillary vein superiorly, the latissimus dorsi laterally, the medial border of the pectoralis minor medially, and the subscapularis posteriorly is removed.

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