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A mastectomy is the surgical removal of a breast. In a 'radical' mastectomy, the lymph nodes (or glands) in the nearby armpit are also removed as this is where cancer can sometimes spread to..... this causes a disruption of the flow of 'lymph' in the arm causing a back up and the arm swells. Lymph is the remainder of the fluid that has filtered out of the blood to bathe the cells of the arm and usually travels back up the lymphatic system, through the lymph nodes, to mix back into the blood stream near the base of the neck.

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