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International Patient CareBest Hospital for Lumpectomy with Axillary Lymph Node Dissection Surgery
At Medicover Hospitals, our team of oncologists, with qualifications such as MS, DNB, and MCh, perform open Lumpectomy with Axillary Lymph Node Dissection. This procedure is essential for breast cancer treatment. Patients often experience shorter hospital stays due to the precise surgical approach.
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What is Lumpectomy With Axillary Lymph Node Dissection?
A lumpectomy with axillary lymph node dissection is a surgical procedure involving the breast and nearby lymph nodes. In this surgery, the tumour and a small margin of surrounding healthy tissue are removed from the breast. Additionally, lymph nodes from the axilla (underarm area) are also excised. This helps in assessing the spread of cancer.
This surgery is primarily needed for breast cancer treatment. It is recommended when cancerous cells are detected in the breast and may have spread to the lymph nodes. If left untreated, the cancer can progress and spread to other body parts. Modern surgical approaches like sentinel lymph node biopsy and minimally invasive techniques are available for this procedure. These methods aim to reduce recovery time and improve outcomes.
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Complete Guide To Lumpectomy With Axillary Lymph Node Dissection
Everything you need to know about the procedure, preparation, and recovery
Lumpectomy with Axillary Lymph Node Dissection Surgery Indications
Doctors recommend lumpectomy with axillary lymph node dissection when breast cancer is detected and there's a need to assess lymph node involvement. This procedure helps in both removing the tumour and evaluating the spread of cancer.
Early-Stage Breast Cancer
Patients may notice a lump in the breast or changes in breast shape. Imaging tests like mammograms or ultrasounds confirm a suspicious mass. If biopsy results indicate cancer, surgery is advised when the tumour is small and localized.
Positive Sentinel Lymph Node Biopsy
Some patients experience swelling or tenderness under the arm. A sentinel lymph node biopsy shows cancer cells in the lymph nodes. When this occurs, further dissection is necessary to assess the extent of spread.
Breast Cancer with Axillary Lymphadenopathy
Swelling or lumps in the armpit may be felt by the patient. Imaging and biopsy reveal cancerous lymph nodes. Surgery is considered when these nodes are involved, indicating potential spread.
Recurrent Breast Cancer
Patients with previous breast cancer may notice new lumps or symptoms. Imaging or biopsy confirms recurrence. Surgery is needed when cancer returns to the breast or lymph nodes, despite prior treatment.
Invasive Ductal Carcinoma
Patients might experience a palpable mass or skin changes. Diagnostic imaging and biopsy confirm invasive ductal carcinoma. Surgery is recommended when the cancer is invasive and involves nearby lymph nodes.
How to Prepare for Lumpectomy with Axillary Lymph Node Dissection?
Proper preparation is crucial for a smooth surgery and recovery. It helps minimise complications and ensures a quicker return to daily activities.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements 7-10 days before surgery. Consult your doctor.
- Fasting Instructions: Do not eat or drink anything for at least 8 hours before the procedure to ensure anaesthesia safety.
- Pre-Surgery Shower: Bathe with an antiseptic soap the night before and the morning of the surgery to reduce infection risk.
- Comfortable Clothing: Wear loose, comfortable clothing on the day of surgery for ease of changing and comfort post-procedure.
- Transportation: Arrange for someone to drive you home after the surgery, as you may feel drowsy from anaesthesia.
- Medication List: Bring a list of your current medications, including dosages, to share with the medical team.
- Relaxation Techniques: Practice deep breathing or meditation to help reduce anxiety before the procedure.
- Home Preparation: Set up a comfortable recovery area at home with essentials within easy reach.
Lumpectomy with Axillary Lymph Node Dissection Surgery (Step-by-Step)
This procedure is performed by oncology care specialists. It typically takes 2-4 hours and is done under general anaesthesia.
- Preparation: The patient is positioned on the operating table. General anaesthesia is administered to ensure comfort and pain-free surgery.
- Incision: A small incision, usually 3-5 cm, is made over the breast area to access the tumour. Surgical instruments like a harmonic scalpel are used for precision.
- Tumour Removal: The surgeon carefully excises the tumour along with a margin of healthy tissue. This ensures complete removal and reduces recurrence risk.
- Axillary Lymph Node Dissection: Another incision, about 3-4 cm, is made under the arm. The surgeon uses tools like bipolar cautery to remove lymph nodes for examination.
- Closure: The incisions are closed with sutures or surgical staples. A drain may be placed to prevent fluid accumulation.
- Recovery Room: The patient is moved to a recovery area. Nurses monitor vital signs as the anaesthesia wears off.
- Post-Operative Care: Pain management and wound care instructions are provided. Follow-up appointments are scheduled for further evaluation.
Who Performs Lumpectomy with Axillary Lymph Node Dissection Surgery?
This surgery is performed by surgical oncologists. They are specialists trained in cancer surgery, focusing on removing tumours and affected lymph nodes.
Recovery After Lumpectomy with Axillary Lymph Node Dissection Surgery
Recovery from a lumpectomy with axillary lymph node dissection involves a gradual return to normal activities. It's important to follow your doctor's advice to ensure a smooth healing process.
Day 1-3:
- Rest is crucial. Avoid strenuous activities.
- Keep the surgical area clean and dry.
- Manage pain with prescribed medications.
- Consume light meals like khichdi or moong dal soup.
Day 4-7:
- Begin gentle arm exercises as advised by your doctor.
- Gradually increase activity, but avoid lifting heavy objects.
- Include soft foods like curd and dal-rice in your diet.
- Monitor for any signs of infection or unusual swelling.
Day 8-14:
- Continue with prescribed exercises to improve arm mobility.
- Resume light household activities.
- Incorporate a balanced diet with fruits and vegetables.
- Consider returning to work or school if you feel comfortable.
Phase 3 (Week 3-4):
- Most patients can resume normal activities.
- Continue exercises to maintain arm strength and flexibility.
- Follow up with your doctor for a post-operative check-up.
When to Seek Urgent Help:
- Fever or chills indicating possible infection.
- Excessive swelling or redness around the incision.
- Severe pain not relieved by medication.
- Sudden shortness of breath or chest pain.
Please contact the hospital for current details as insurance panels may change.
Benefits of Lumpectomy with Axillary Lymph Node Dissection Surgery
This surgery is a common treatment for breast cancer, aiming to remove the tumour and assess lymph node involvement.
- Breast Conservation: Preserves most of the breast tissue, maintaining appearance.
- Accurate Staging: Helps determine the extent of cancer spread through lymph node analysis.
- Potentially Curative: Removes cancerous tissue, reducing the risk of recurrence.
- Shorter Recovery Time: Compared to more extensive surgeries, recovery is often quicker.
Risks and Complications of Lumpectomy with Axillary Lymph Node Dissection Surgery
While generally safe, this surgery carries certain risks and potential complications.
- Lymphedema: Swelling in the arm due to lymph node removal.
- Infection: Risk of infection at the surgical site.
- Pain or Numbness: Discomfort or loss of sensation in the affected area.
- Seroma: Fluid accumulation under the skin post-surgery.
- Shoulder Stiffness: Limited range of motion in the shoulder.
- Nerve Damage: Potential injury to nerves during surgery.
Cost of Lumpectomy with Axillary Lymph Node Dissection Surgery
The cost of Lumpectomy with Axillary Lymph Node Dissection Surgery at Medicover Hospitals ranges from Rs. 85,000 to Rs. 1,36,000. The price varies depending on the ward category chosen, such as day care, general, or private suites. We offer transparent pricing and support for insurance and TPA, including CGHS, ESI, and major TPAs. Cashless facilities are available for your convenience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Lumpectomy with Axillary Lymph Node Dissection surgery cost at Medicover Hospitals?
The cost ranges from Rs. 85,000 to Rs. 1,36,000 across Medicover Hospitals. Prices vary based on room type and care level.
2. Is Lumpectomy with Axillary Lymph Node Dissection surgery covered under health insurance at Medicover?
Yes, it is typically covered by CGHS, ESI, and major TPAs with cashless options. Please contact the hospital for current panel details.
3. Will I experience arm swelling after surgery?
Yes, arm swelling, known as lymphedema, can occur after axillary lymph node dissection. It's important to follow physiotherapy and care instructions.
4. Can I breastfeed after a lumpectomy?
Breastfeeding may still be possible after a lumpectomy, depending on the extent of surgery. Consult your doctor for personalized advice.
5. Will my breast shape change after lumpectomy?
There might be changes in breast shape or size post-surgery. Discuss reconstruction options with your surgeon if concerned.
6. What foods aid recovery after lumpectomy?
Eat a balanced diet including curd, dal-rice, and khichdi. These foods help in recovery and provide necessary nutrients.
7. Can I exercise after lumpectomy with node dissection?
Light exercises are recommended after a few weeks to aid recovery. Always consult your doctor before starting any exercise routine.
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