安吉丽娜·朱莉：我的医疗选择

安吉丽娜·朱莉做出了自己勇敢的选择,不论你作何感想。。。

我的母亲与癌症斗争了近十年，在56岁时去世。她与命运对抗着，直到见到了自己第一个外孙，享受了天伦之乐。不过，我的其他几个孩子却没有机会了解她，感受她的和蔼可亲。

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.

我们经常聊起“妈咪的妈咪”，而我发现自己总是在努力地向他们解释将她从我们身边夺走的疾病。孩子们曾问道，这种情况是不是也会发生在我身上。我一直都告诉他们，不要担心，而真相是，我身体里有一个“缺陷”基因，BRCA1。这个基因会极大地增加我患上乳腺癌和子宫癌的风险。

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.

我的医生估计我有87%的几率会患上乳腺癌，50%的几率会患上子宫癌，当然这种几率因人而异。

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.

只有一小部分的乳腺癌是由遗传性基因突变造成的。基因BRCA1有缺陷的人平均患上乳腺癌的几率是65%。

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.

当我知道这种情况降临到我身上时，我决定主动出击，尽可能地减少风险。我决定进行一个预防性的双乳腺切除手术。我从乳房开始，因为我患乳腺癌的风险高于子宫癌，且手术更为复杂。

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. 4月27日，我结束了针对乳腺切除手术的三个月疗程。在此期间，我没有对外透露，同时也没有影响工作。

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.

不过，我现在要公布于世，原因是我希望女士们能从我的经历中有所收益。癌症现在仍然是一个让人感到恐惧的词，让人感到深深的无力。不过，如今有可能通过验血来发现你是否属于乳腺癌和子宫癌的患病高危人群，并采取应对措施。 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

第1页下一页