What is mastectomy with sentinel node biopsy?
During lumpectomy or mastectomy, we routinely perform what is called a sentinel node biopsy, in which we remove one or more lymph nodes under the arm to inspect for cancer cells. The sentinel node is the first node to which breast cancer cells travel after leaving the breast.
How long does it take to recover from a sentinel node biopsy?
You should feel close to normal in a few days. The incision the doctor made usually heals in about 2 weeks. The scar usually fades with time. Some people have a buildup of fluid in the area where the lymph nodes were removed.
How painful is sentinel node biopsy?
Some patients find that the sentinel node procedure is associated with more discomfort than the lumpectomy or mastectomy procedure. This is usually managed with ice or over the counter pain medication, but a prescription pain medication is also often necessary, at least for a few days.
How painful is sentinel node injection?
The first step in sentinel lymph node biopsy is injecting a dye or radioactive tracer liquid (or both) into the nipple area. If you’re awake during the procedure, this injection can be painful.
What happens after a radical mastectomy?
While recovering from surgery, most people have some pain. Recovery times vary depending on the specifics of your double mastectomy. After a mastectomy without breast reconstruction, it can take three to four weeks to feel mostly normal. If you also have breast reconstruction, recovery can take six to eight weeks.
How many nodes are removed in a sentinel node biopsy?
The surgeon then removes the sentinel nodes. In most cases, there are one to five sentinel nodes, and all are removed. The sentinel nodes are sent to a pathologist to examine under a microscope for signs of cancer. In some cases, sentinel node biopsy is done at the same time as surgery to remove the cancer.
How long does a modified radical mastectomy take?
The entire procedure commonly takes between 2 to 3 hours. Once your lymph nodes are removed, your doctor will examine them to determine whether cancer has spread to them or through them to other areas of your body.