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新聞網址：http://ppt.cc/d~8a
www.nytimes.com/2013/05/14/opinion/my-medical-choice.html?smid=pl-share


My Medical Choice　為了健康,我選擇...

By ANGELINA JOLIE

Published: May 14, 2013

出處：http://www.nytimes.com

版權所有

1.紐約時報
2.安吉莉娜裘莉與布萊德彼特與她的孩子們
3.可能不是ptt
4.絕對不是我...


MY MOTHER fought cancer for almost a decade and died at 56. She held out
long enough to meet the first of her grandchildren and to hold them in her
arms. But my other children will never have the chance to know her and
experience how loving and gracious she was.

我的母親與癌症奮戰近十年，在五十六歲那年離開人世。她堅持到第一個孫女誕生之時，
還親自用雙手將她抱在懷裡。但是，我的老二與老三（Knox Léon Jolie-Pitt,
Vivienne Marcheline Jolie-Pitt）永遠沒有機會見到祖母，也無法得知祖母是位
如此慈愛與優雅的女士。

We often speak of “Mommy’s mommy,” and I find myself trying to explain
the illness that took her away from us. They have asked if the same could
happen to me. I have always told them not to worry, but the truth is I
carry a “faulty” gene, BRCA1, which sharply increases my risk of developing
 breast cancer and ovarian cancer.


告訴他們沒什麼好擔心的。不過，老實說，我其實有著「BRCA1」基因，一種讓人比起

一般人更容易罹患乳癌、卵巢癌的「壞基因」。

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.

醫生估計我將有八成七的機率罹患乳癌，五成的機率罹患卵巢癌，不過，每個有著
「BRCA1」基因的女性情況會有所不同。

Only a fraction of breast cancers result from an inherited gene mutation.
Those with a defect in BRCA1 have a 65 percent risk of getting it, on average.

先天性基因突變導致乳癌的情況僅佔所有乳癌患者的一小部份。平均來說，有著
「BRCA1」基因的女性比一般人有高出六成五的機率罹癌。

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. I started with the breasts, as my risk of breast cancer
is higher than my risk of ovarian cancer, and the surgery is more complex.



On April 27, I finished the three months of medical procedures that the
mastectomies involved. During that time I have been able to keep this
private and to carry on with my work.

四月二十七號，我結束了為期三個月的療程。期間，我得以保持低調，並且繼續工作。

But I am writing about it now because I hope that other women can benefit
from my experience. Cancer is still a word that strikes fear into people’s
hearts, producing a deep sense of powerlessness. But today it is possible
to find out through a blood test whether you are highly susceptible to
breast and ovarian cancer, and then take action.

但是，我選擇將這一切分享出來，是因為我希望所有女性都能從我身上得到一些啟發。
癌症目前依然是個入眼會令人心生恐懼的字眼，讓人感到無力。但是，今日的醫學水
平已經可以透過血液檢驗來得知個人是否為乳癌、卵巢癌的高風險群，然後採取行動。


My own process began on Feb. 2 with a procedure known as a “nipple delay,”
 which rules out disease in the breast ducts behind the nipple and draws
extra blood flow to the area. This causes some pain and a lot of bruising,
but it increases the chance of saving the nipple.



Two weeks later I had the major surgery, where the breast tissue is removed
and temporary fillers are put in place. The operation can take eight hours.
You wake up with drain tubes and expanders in your breasts. It does feel
like a scene out of a science-fiction film. But days after surgery you can
be back to a normal life.



Nine weeks later, the final surgery is completed with the reconstruction of
the breasts with an implant. There have been many advances in this procedure
in the last few years, and the results can be beautiful.

九個禮拜之後，我進行最後一個階段「乳房重建」。過去幾年來，這個領域已有相當大的
進展，成效可以是非常美麗的。

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. My
chances of developing breast cancer have dropped from 87 percent to under
5 percent. I can tell my children that they don’t need to fear they will
lose me to breast cancer.



It is reassuring that they see nothing that makes them uncomfortable. They
can see my small scars and that’s it. Everything else is just Mommy, the
same as she always was. And they know that I love them and will do anything
to be with them as long as I can. On a personal note, I do not feel any less
of a woman. I feel empowered that I made a strong choice that in no way
diminishes my femininity.

看到孩子們沒有因此有不安，更讓人放心。他們可以看到術後留下的疤痕，但也只有
這樣。媽咪依然是媽咪。而且，他們知道我是如此的愛著他們，為了好好的陪著他們，


I am fortunate to have a partner, Brad Pitt, who is so loving and supportive.
So to anyone who has a wife or girlfriend going through this, know that you
are a very important part of the transition. Brad was at the Pink Lotus
Breast Center, where I was treated, for every minute of the surgeries. We
managed to find moments to laugh together. We knew this was the right thing
to do for our family and that it would bring us closer. And it has.



For any woman reading this, I hope it helps you to know you have options. I
want to encourage every woman, especially if you have a family history of
breast or ovarian cancer, to seek out the information and medical experts
who can help you through this aspect of your life, and to make your own
informed choices.



I acknowledge that there are many wonderful holistic doctors working on
alternatives to surgery. My own regimen will be posted in due course on
the Web site of the Pink Lotus Breast Center. I hope that this will be
helpful to other women.

我知道還有許多其他領域的優秀醫師為手術之外的乳癌療法做出努力。我個人在 Pink
Lotus 中心接受的療程將會公開。我希望這麼作能幫助其他女性。


Breast cancer alone kills some 458,000 people each year, according to the
World Health Organization, mainly in low- and middle-income countries. It
has got to be a priority to ensure that more women can access gene testing
and lifesaving preventive treatment, whatever their means and background,
wherever they live. The cost of testing for BRCA1 and BRCA2, at more than
$3,000 in the United States, remains an obstacle for many women.


BRCA 1 與 BRCA 2 的檢驗，在美國就需要超過三千元美金，這對許多女性來說仍是
個不容易的事情。

I choose not to keep my story private because there are many women who do not
know that they might be living under the shadow of cancer. It is my hope that
they, too, will be able to get gene tested, and that if they have a high risk
they, too, will know that they have strong options.



Life comes with many challenges. The ones that should not scare us are
the ones we can take on and take control of.

人生充滿挑戰。我們最不該害怕去面對的，是那些我們可以正面迎上，並採取行動
來因應的挑戰。

Angelina Jolie is an actress and director.








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※ millyhh:轉錄至看板 Anti-Cancer                                  05/14 21:42
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