ALND stands for what procedure?

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Axillary Lymph Node Dissection is a surgical procedure in which the lymph nodes in the armpit are removed to determine if breast cancer has spread and to guide treatment. This approach is used when cancer involvement is suspected or confirmed in the nodes, and it provides more comprehensive nodal information than sampling a single node.

This term is the correct one because it specifically describes removing axillary lymph nodes. The other phrasing would imply something different—for example, drainage would be about fluid removal rather than excision of tissue; anterior is not a standard descriptor for this procedure; and nodal dissection alone doesn’t specify the axillary lymph nodes, which is the context in this setting.