Lymph Node Swelling

I have a lumpectomy done on 11/23/2007 and the tumor is cancerous.  The surgeon then said that I had to do a Auxillary Lymph Node Disection Surgery to check the lymp nodes for cancer.  In my country, this surgery is not done at the same time of the lumpectomy.  It has been 2 mths and I have not yet done the ALND.  There were not signs of lymph node activity until about 3wks ago when another Dr felt swelling.  I had a breast MRI and the lymph node showed suspecious on it.  The Breast Surgeron has scheduled a Bi-sentinel Lymph Node Discection first and then may follow with the ALND if necessary.  Finally, my question:  can the swelling/lump feeling on this lymp node be as a direct result of the lumpectomy? Or, is this a sure sign that the cancer has spread to the lymph nodes?

[Dennis MD]

Hi.
I just want to ask if there were palpable axillary lymph nodes before the lumpectomy was done?  I'm assuming that you have an early-stage breast cancer.  
What treatment was given to you after the lumpectomy?
It would be hard to tell exactly if the palpable axillary lymph nodes are metastasis from the breast cancer without the benefit of a histopathologic evaluation.