ALND
Also written as: ALND — axillary lymph node dissection
Abbreviation for axillary lymph node dissection, an extensive lymph node removal procedure.
Full Definition
ALND stands for axillary lymph node dissection, a surgical procedure involving removal of level I and II axillary lymph nodes for staging and treatment of breast cancer. This more extensive procedure is performed when sentinel lymph node biopsy reveals cancer involvement or when sentinel node mapping is unsuccessful. ALND provides comprehensive staging information but carries higher risks of complications including lymphedema, nerve injury, and reduced arm mobility. Current trends favor avoiding ALND when possible through refined patient selection and de-escalation protocols.
Usage
Usage note: Distinguish clearly from SLNB in clinical documentation.
In Context
- "Positive sentinel nodes necessitated completion ALND for accurate staging." — surgical plan
- "ALND was avoided through adherence to current de-escalation guidelines." — treatment rationale