What should I think about if I have a lymphadenectomy for melanoma?

The decision to have a lymphadenectomy is not simple. It depends on your age, the location and thickness of the primary melanoma, results of the sentinel node biopsy, and other possible treatments. Discuss these issues with your doctor before deciding whether to have a lymphadenectomy.

Not all lymph node enlargement means involvement with melanoma. Other conditions that cause lymph node swelling, such as acne or infection, could occur at the same time as the melanoma. Such conditions should be ruled out before lymphadenectomy is done.

Swelling after surgery (lymphedema) can be prevented or controlled by use of antibiotics, support stockings (also called compression stockings), massage, and diuretics.

Lymphadenectomy usually is not needed if melanoma has not spread to the lymph nodes.