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1、安吉丽娜·朱莉:My Medical ChoiceMYMOTHERfoughtcancerforalmostadecadeanddiedat56.Sheheldoutlongenoughtomeetthefirstofhergrandchildrenandtoholdtheminherarms.Butmyotherchildrenwillneverhavethechancetoknowherandexperiencehowlovingandgraciousshewas. Weoftenspeakof
2、"Mommy'smommy,"andIfindmyselftryingtoexplaintheillnessthattookherawayfromus.Theyhaveaskedifthesamecouldhappentome.Ihavealwaystoldthemnottoworry,butthetruthisIcarrya"faulty"gene,BRCA1,whichsharplyincreasesmyriskofdevelopingbreastcancerandovariancancer.
3、MydoctorsestimatedthatIhadan87percentriskofbreastcanceranda50percentriskofovariancancer,althoughtheriskisdifferentinthecaseofeachwoman. Onlyafractionofbreastcancersresultfromaninheritedgenemutation.ThosewithadefectinBRCA1havea65percentriskofgettingit,o
4、naverage. OnceIknewthatthiswasmyreality,IdecidedtobeproactiveandtominimizetheriskasmuchIcould.Imadeadecisiontohaveapreventivedouble mastectomy(乳房切除术).Istartedwiththebreasts,asmyriskofbreastcancerishigherthanmyriskofovariancancer,andthesurgeryismorecomp
5、lex. OnApril27,Ifinishedthethreemonthsofmedicalproceduresthatthemastectomiesinvolved.DuringthattimeIhavebeenabletokeepthisprivateandtocarryonwithmywork. ButIamwritingaboutitnowbecauseIhopethatotherwomencanbenefitfrommyexperience.Cancerisstillawordthats
6、trikesfearintopeople'shearts,producingadeepsenseofpowerlessness.Buttodayitispossibletofindoutthroughabloodtestwhetheryouarehighlysusceptibletobreastandovariancancer,andthentakeaction. MyownprocessbeganonFeb.2withaprocedureknownasa"nipple(乳头) delay,"whi
7、chrulesoutdiseaseinthebreastductsbehindthenippleanddrawsextrabloodflowtothearea.Thiscausessomepainandalotofbruising,butitincreasesthechanceofsavingthenipple. TwoweekslaterIhadthemajorsurgery,wherethebreasttissueisremovedandtemporaryfillersareputinplace
8、.Theoperationcantakeeighthours.Youwakeupwithdraintubesandexpandersinyourbreasts.Itdoesfeellikeasceneoutofascience-fictionfilm.Butdaysaftersurgeryyoucanbebacktoanormallife. Nineweekslater,thefinalsurgeryiscompletedwiththereconstructionof