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大家对Angelina Jolie的乳腺癌预防手术怎么看?

闲情 2013-05-14 09:12:42 ( reads)

有必要么?

http://www.cnn.com/2013/05/14/showbiz/angelina-jolie-double-mastectomy/index.html?hpt=hp_t1

(CNN) -- Actress Angelina Jolie announced in a New York Times op-ed article on Tuesday that she underwent a preventive double mastectomy after learning she carries a mutation of the BRCA1 gene, which sharply increases her risk of developing breast cancer and ovarian cancer.
"My doctors estimated that I had an 87 percent risk of breast cancer and a 50 percent risk of ovarian cancer, although the risk is different in the case of each woman," Jolie wrote. "Once I knew that this was my reality, I decided to be proactive and to minimize the risk as much I could. I made a decision to have a preventive double mastectomy."
Jolie's mother, actress and producer Marcheline Bertrand, died of ovarian cancer in 2007 at the age of 56. Jolie is 37 years old.
In the Times op-ed, titled "My Medical Choice," Jolie said she finished three months of medical procedures at the Pink Lotus Breast Center in California on April 27 that included the mastectomies and reconstruction.
Opinion: Jolie's choice carries risks with benefits
A mastectomy is an operation that removes all or part of the breast.
Jolie: 'I've decided to be proactive'
CNN anchor: I have breast cancer
Explaining Jolie's cancer gene
CNN archives: Jolie on her mom's cancer
Photos: Life of Angelina JoliePhotos: Life of Angelina Jolie
She wrote that her experience involved a three-step process. On February 2, the actress had a procedure that increases the chance that the nipple can be saved. Two weeks later, she had major surgery where the breast tissue was removed and temporary fillers were put in place. Nine weeks later she described undergoing "reconstruction of the breasts with an implant."
"There have been many advances in this procedure in the last few years," she said, "and the results can be beautiful."
Why double mastectomies are up
"I wanted to write this to tell other women that the decision to have a mastectomy was not easy. But it is one I am very happy that I made," Jolie wrote. "My chances of developing breast cancer have dropped from 87 percent to under 5 percent."
BRCA stands for breast cancer susceptibility genes -- a class of genes known as tumor suppressors, according to the National Cancer Institute.
Hollywood applauds Jolie for going public with surgery
Mutations of the BRCA1 and BRCA2 genes have been linked to hereditary breast and ovarian cancer. A blood test can determine if a woman is "highly susceptible" to the cancers.
Fellow actress Christina Applegate had a similar procedure in 2008. She also had a mutation of the BRCA1 gene.

跟帖(60)

闲情

2013-05-14 09:18:39

我比较同意一位读者的观点

如尘

2013-05-14 12:20:01

可以用肚子上的脂肪隆乳。 不是非得用硅胶。

viewfinder

2013-05-14 13:18:56

Jolie 肚子上好像没啥脂肪:)

御用文人

2013-05-14 17:41:02

多采用背阔肌瓣带蒂转移术

回家路

2013-05-14 09:35:24

个人认为不推荐!把乳腺全部切除没留一个乳腺细胞是很难的!

薛成

2013-05-14 09:38:14

都是被假科学忽悠的。不过帮助了美国的GDP.就是因为这些花费,美国的GDP的1/3是医疗行业提供的。

Bluebell

2013-05-14 11:05:48

你太偏激了。这个不是假科学是真科学。

薛成

2013-05-14 18:44:28

那么,生活质量就不用考虑了?

TBz

2013-05-15 09:24:15

她的医生应该和她讨论过这个问题

福娃2009

2013-05-15 08:38:15

科学过头了!真是基因缺陷要致癌的话,乳腺切了不能长了,还得在其它地方长,不是更不好治?

viewfinder

2013-05-14 10:26:40

她的医生认为她有90%几率得乳腺癌,切除了就几乎为零几率。可以理解她的选择。

Bluebell

2013-05-14 11:04:53

今天中午和我先生一起吃饭我们谈起她

viewfinder

2013-05-14 11:18:13

这个真不是个容易的选择,就是在医学界也有争议。

蒙城一郎中

2013-05-14 12:12:41

如果是你得了

Bluebell

2013-05-14 12:26:47

郎中啊!你终于出现啦!:))))

蒙城一郎中

2013-05-14 12:46:25

如果你老公

永远是中国人

2013-05-14 12:53:17

不理解你的逻辑. 老公没有注意到老婆的身体健康, 也不该把JJ切掉啊.

蒙城一郎中

2013-05-14 12:54:11

逻辑. 老公把JJ切掉啊,也能预防JJ癌

Bluebell

2013-05-14 12:59:27

搬马扎磕瓜子等着看郎中挨砸 :))

蒙城一郎中

2013-05-14 13:01:28

凭什么挨砸 :))

Bluebell

2013-05-14 13:03:35

为什么不砸你

蒙城一郎中

2013-05-14 13:06:22

砸我才没天理咧

Bluebell

2013-05-14 13:24:03

人法地 地法天 天法道 道法自然

蒙城一郎中

2013-05-14 13:38:17

这就你的不科学了哈~

Bluebell

2013-05-14 13:59:07

郎中今天这么文青哈~

Bluebell

2013-05-14 12:57:15

抱下抱下,咱俩不打架 :)))))

如尘

2013-05-14 12:41:53

我阿姨婚姻幸福得很,乳癌去年走了。

周游列国逍遥人生

2013-05-14 10:28:57

回复:大家对Angelina Jolie的乳腺癌预防手术怎么看?

回家路

2013-05-14 10:53:54

是的,日本女人移民到美国后,乳腺癌发病率增加10倍以上!饮食环境因素也是很重要的!

TBz

2013-05-14 13:00:53

BRCA1基因,科学研究证实是遗传的。

TBz

2013-05-14 15:04:48

得癌几率87%,这个基因当然不是100%绝对生效的

tiger00

2013-05-14 11:49:10

能做出这样的决定需要勇气,尤其是她妈和她外婆都早逝,她又有87%的发病几率

ooopsss

2013-05-14 12:00:00

“双侧切了还肺癌脑癌的”,那还得预先切肺切脑?癌症因素不去除,切哪也没用。

如尘

2013-05-14 12:23:27

in her case, the probability is reduced from 87% to 5%.

Bluebell

2013-05-14 12:29:09

agree

lavendar99

2013-05-14 12:32:20

美国人很相信概率数字。 但是有几个人真正明白概率是什么,怎么解读那个数字?

viewfinder

2013-05-14 13:09:18

是应该认真解读这个数字。87%是life time患乳腺癌几率,

大江川

2013-05-14 15:42:26

这个,也需要这样解读,有乳腺,就有可能生乳癌,不分男女。没有乳腺,何来乳癌?此概率为0。。。因此,推动另外1种人类之思。

ECityBlues

2013-05-14 12:47:19

九成得癌的机会还不切除?为什么拿性命赌?我觉得明智

Bluebell

2013-05-14 13:00:49

拼命点头,对对对

如尘

2013-05-14 13:06:13

而且, 孩子生完了, 那啥本来也木啥用 , 对吧 :)

回家路

2013-05-14 13:21:26

但她的mammogram现在肯定正常!她也可能一辈子根本不会得癌。对个人来说,机率要么0%, 要么100%.

Bluebell

2013-05-14 13:25:48

她有87%的可能100%得癌

如尘

2013-05-14 13:36:09

她一辈子不得癌的几率13%, 得癌的几率87%。

回家路

2013-05-14 13:40:25

是的,按着整体概率她真该切,但马上切不切还有很大争议!因为还有其他选择!

回家路

2013-05-14 13:46:02

刚问了诊所的一个年轻女孩,她是积极赞成的,她说,女士要做breast plant anyway!

如尘

2013-05-15 07:37:13

那不是还要做chemo? 我一个做过chemo的朋友说:

回家路

2013-05-15 08:46:57

完全同意!其实文章没说,即使切掉也要密切监测!还有机会在局部得的!

Déjàvu116

2013-05-14 16:08:52

这个是人家的选择,怎么看也没用,反正不犯法。爱咋咋地。

Déjàvu116

2013-05-14 16:13:01

高危不代表准得病,只是个统计数字罢了。

lavendar99

2013-05-14 17:20:40

把能切的都切了,神经该有问题了~~~~

Déjàvu116

2013-05-14 17:21:44

哈哈哈,含蓄点儿。。。

tiaa-cref

2013-05-14 16:09:30

Talk to Genetic Counselors

tiaa-cref

2013-05-14 16:10:32

Talk to Genetic Counselors

Déjàvu116

2013-05-14 16:14:11

不觉得是最好的选择!!

Bluebell

2013-05-14 18:05:09

洗耳恭听,您给说说最好的选择是啥?

faday

2013-05-14 16:45:05

弄个假的没有刺激感觉,多活几年又有什么意思?-〉钱多撑的。

Bluebell

2013-05-14 18:06:51

你肯定不是当妈的。。。。

Lilac2003

2013-05-15 08:28:27

乳腺癌预防手术有一点aggressive,但可以理解.

回家路

2013-05-15 08:42:17

即使切掉后,也要close follow up. 只是得的机会少了,但还会在局部得!并不是全放下心来!