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Tx4obama

(36,974 posts)
Tue May 14, 2013, 12:41 AM May 2013

Angelina Jolie Announces She Has Undergone Preventive Double Mastectomy



Angelina Jolie Announces She Has Undergone Preventive Double Mastectomy

In an op-ed piece to be published in Tuesday’s New York Times, actress Angelina Jolie has announced that she recently completed a preventive double mastectomy. In the piece, the actress explains that the procedures have decreased her chances of getting breast cancer, from 87% to 5%, and that she feels “empowered that I made a strong choice that in no way diminishes my femininity.”

Jolie says she is sharing her experience now in hopes that other women can benefit from it.

-snip-

Full article here: http://www.mediaite.com/online/angelina-jolie-announces-she-has-undergone-preventive-double-mastectomy/



- - -

My Medical Choice
by Angelina Jolie

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.

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.

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.

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.

-snip-

Full OP-ed here: http://www.nytimes.com/2013/05/14/opinion/my-medical-choice.html?_r=1&


46 replies = new reply since forum marked as read
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Angelina Jolie Announces She Has Undergone Preventive Double Mastectomy (Original Post) Tx4obama May 2013 OP
Good on Angelina Cha May 2013 #1
Sort of like Nancy Reagan--though hers was not entirely preventive. MADem May 2013 #2
She made an informed choice Abq_Sarah May 2013 #3
+1 area51 May 2013 #18
Sad. GoCubsGo May 2013 #4
Everyone dies down the road. woolldog May 2013 #7
No matter how good medicine gets, it will always have a bleeding edge. Donald Ian Rankin May 2013 #23
"I hope it helps you to know you have options" RedCappedBandit May 2013 #5
No... awoke_in_2003 May 2013 #13
Keep reading... she's well aware of that. cui bono May 2013 #16
Missed that. Thanks. nt RedCappedBandit May 2013 #21
No, but.... pokerfan May 2013 #39
She's always spot on in how she goes applegrove May 2013 #6
brave gal Skittles May 2013 #8
Not a big fan... RudynJack May 2013 #9
I am absolutly impressed with her honesty in discussing this. kiva May 2013 #10
She mentions that in her Op-Ed. n/t cui bono May 2013 #17
Actually she mentions the cost of the tests kiva May 2013 #34
My understanding is that she holds Libertarian political beliefs CrawlingChaos May 2013 #20
Your 'understanding' means 'a rumor I heard which is unsupported by reaity'. Bluenorthwest May 2013 #28
Excellent mini bio of Jolie, appacom May 2013 #36
It's not a rumor, it's reality CrawlingChaos May 2013 #44
I had a right-side mastectomy in 2000... chillfactor May 2013 #11
Smart move, tough decision. Glad she's talking openly about it. laundry_queen May 2013 #12
But will she stop stealing other people's children? n/t me b zola May 2013 #14
Nope. She and Brad are entitled (eom) StevieM May 2013 #19
Can see her going in for a really awesome tattoo to cover the scars wickerwoman May 2013 #15
I think she had immediate reconstructive surgery. HappyMe May 2013 #27
Reconstruction surgery is a bad idea. Neoma May 2013 #29
I think they remove all of the breast tissue, HappyMe May 2013 #30
This message was self-deleted by its author Neoma May 2013 #31
I'm pretty sure that the technology has advanced quite a bit. HappyMe May 2013 #32
Do you realize that might give you lymphadema? Neoma May 2013 #33
According to a quick look at wikipedia HappyMe May 2013 #35
Well, they usually take out the lymph nodes because that's how cancer spreads to other parts of the Neoma May 2013 #37
I have had a bunch of my lymph nodes HappyMe May 2013 #38
Yeah, my doctor died from that... Neoma May 2013 #40
Where I had my first mammogram done, they also offer MRI breast screenings. justiceischeap May 2013 #41
I would imagine they would have to. HappyMe May 2013 #42
wow...even more brave when the world of film values women primarily for their boobs BlancheSplanchnik May 2013 #22
That is so sad LittleBlue May 2013 #24
"Killer Boobs" PDittie May 2013 #25
Respect. I have a friend who just discovered she has BRCA1 and she is considering her options; she Brickbat May 2013 #26
Preventative? 1-Old-Man May 2013 #43
The test gave her an 87% chance of getting breast cancer Merlot May 2013 #45
Update. proverbialwisdom Mar 2015 #46

MADem

(135,425 posts)
2. Sort of like Nancy Reagan--though hers was not entirely preventive.
Tue May 14, 2013, 12:49 AM
May 2013

She had a diagnosis, though, before she opted for that solution. IIRC she could have gone the lump removal route, but she wasn't taking any chances.

http://xfinity.comcast.net/slideshow/entertainment-breastcancersurvivors/8/

area51

(11,907 posts)
18. +1
Tue May 14, 2013, 03:07 AM
May 2013

If we had single-payer health care in the U.S., we'd all have the resources for this, should something like this be necessary.

GoCubsGo

(32,080 posts)
4. Sad.
Tue May 14, 2013, 01:01 AM
May 2013

I wish things were more advanced so that women wouldn't have to cut off their body parts in order to keep themselves from dying down the road.

Donald Ian Rankin

(13,598 posts)
23. No matter how good medicine gets, it will always have a bleeding edge.
Tue May 14, 2013, 04:41 AM
May 2013

When medicine has improved to the point where there are safe, cheap, easy cures for things that are now difficult and unpleasant to tackle, it will also have discovered unpleasant and expensive ways to tackle new things; and so on as those cures improve.

RedCappedBandit

(5,514 posts)
5. "I hope it helps you to know you have options"
Tue May 14, 2013, 01:08 AM
May 2013

Does an average american woman's insurance cover such preventative treatment?

cui bono

(19,926 posts)
16. Keep reading... she's well aware of that.
Tue May 14, 2013, 02:55 AM
May 2013
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.

pokerfan

(27,677 posts)
39. No, but....
Tue May 14, 2013, 11:39 AM
May 2013

PZ Myers makes this observation...

The only glitch in this story is that this is America: if you’re not a mega-millionaire movie star, you’re not likely to be able to afford the expensive genetic testing, or the extensive surgeries. But maybe Jolie’s openness will encourage politicians to correct that, too.

http://freethoughtblogs.com/pharyngula/2013/05/14/angeline-jolie-just-became-an-even-more-interesting-person/

applegrove

(118,622 posts)
6. She's always spot on in how she goes
Tue May 14, 2013, 01:28 AM
May 2013

through life. Thank god this crop of Hollywood celebrities are so great at making the world a better more accepting place.

kiva

(4,373 posts)
10. I am absolutly impressed with her honesty in discussing this.
Tue May 14, 2013, 01:51 AM
May 2013

But the fact is that many (the majority?) of American women don't have the financial access to this sort of procedure.

kiva

(4,373 posts)
34. Actually she mentions the cost of the tests
Tue May 14, 2013, 10:32 AM
May 2013

that identified her risk for cancer - $3000. That is truly a drop in the bucket compared to the cost of the surgery itself, not to mention reconstructive surgery (if she chose to have that, not sure based on the article), and I seriously doubt that many, if any, insurance companies would pay for this as a preventative measure.

Again, I'm not bashing her - I admire her for choosing this option, given her looks-based profession, and for writing about it - I am just stating that she is in a position to do this while the majority of women are not...which is a criticism of our health care system, not Ms. Jolie.

CrawlingChaos

(1,893 posts)
20. My understanding is that she holds Libertarian political beliefs
Tue May 14, 2013, 03:26 AM
May 2013

In the past she has expressed an admiration for Ayn Rand and at one time was planning to produce and star in a film version of Atlas Shrugged. So I have to wonder how she envisions "improving access" - charity for a lucky few? Maybe she's changed; the article does not make that clear.

That said, I wouldn't wish this situation on anyone and I do hope her treatment will be a complete success, and that her biological daughters did not inherit the faulty gene. But mostly I wish that lower income women could have access to the great care she does.

 

Bluenorthwest

(45,319 posts)
28. Your 'understanding' means 'a rumor I heard which is unsupported by reaity'.
Tue May 14, 2013, 09:16 AM
May 2013

Here is a quote form this very OPED.
" 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."
Note whatever their means, and also 'wherever they live' which means the world, not just our own backyard. Note that she knows the price others would pay and understands that it is too high.
Her work on behalf of refugees around the world has been excellent, self funded (pays her own way for those slow on the uptake) and she lives in the same conditions as the UN humanitarian staff she is there to help. That means the millionaire lady sleeps in a tent in Africa for weeks on end.
Which of these things suggest a love of the 'lucky few'? Which suggests a Randian outlook?

She is one an excellent person who does more to help those in poverty and extreme duress than most people.
Take a look at her work, her associates, her words and come back to tell us she's John Galt in the chapter where Galt volunteers half his life to help the very poorest of the poor.

appacom

(296 posts)
36. Excellent mini bio of Jolie,
Tue May 14, 2013, 10:59 AM
May 2013

I am always amazed when people confuse the real Jolie with the rumored. Her political philosophy is as clear as a bell if you map the work she's doing around the world. She's truly a 21st Century Change Agent -

CrawlingChaos

(1,893 posts)
44. It's not a rumor, it's reality
Tue May 14, 2013, 03:40 PM
May 2013

In less time than it took you to type that response, you could have Googled and gotten a boatload of hits on her longstanding admiration for Ayn Rand. And clearly, undertaking a major motion picture glorifying her hero's world view suggests more than a casual interest:

http://www.guardian.co.uk/world/2007/jan/28/books.film

And not only do I NOT admire her disaster tourism, I am largely disgusted by it. Celebrities posing for pictures with refugees never impresses me (it's what they do when cameras aren't clicking that does) - but her role as a useful idiot for the warhawks at the CFR is worthy of our contempt, IMO. Or did you miss the pro-war essay she wrote for them? I swear, people get so wrapped up in celebrity worship, they don't care what the truth is.

Her OPED takes no specific position, so it might as well say nothing.

chillfactor

(7,574 posts)
11. I had a right-side mastectomy in 2000...
Tue May 14, 2013, 01:52 AM
May 2013

the cancer was already there....i had a choice between a mastectomy or removal of the cancer and chemotherapy..I have seen what chemotherapy has done to others so I opted for the mastectomy..I have never been sorry.

laundry_queen

(8,646 posts)
12. Smart move, tough decision. Glad she's talking openly about it.
Tue May 14, 2013, 02:23 AM
May 2013

my cousin did the same thing. Her mother, most of her aunts and her grandmother all had breast cancer and/or ovarian cancer. Most died of it (including her mother). So, she decided to get tested (I'm pretty sure it was the BRCA1 gene.) It was positive. She did her research and eventually underwent a preventative double mastectomy and reconstruction. Since her own mother had ovarian cancer as well (she started out with on type of cancer in one breast...then another type in the other...then ovarian) I expect she'll eventually get that surgery as well, as she nears the age her own mother was first diagnosed. It may seem extreme to get so many 'parts' removed, but when you have small kids, going from an 87% chance of cancer to 5% chance is a no-brainer.

HappyMe

(20,277 posts)
27. I think she had immediate reconstructive surgery.
Tue May 14, 2013, 08:55 AM
May 2013

Giuliana Rancic had her breast tissue removed and the reconstructive surgery - I believe they are done at the same time.

Neoma

(10,039 posts)
29. Reconstruction surgery is a bad idea.
Tue May 14, 2013, 09:16 AM
May 2013

Basically, you can't really get a mammogram after doing that and the risk of a lump going unnoticed is pretty high.

Response to HappyMe (Reply #30)

HappyMe

(20,277 posts)
32. I'm pretty sure that the technology has advanced quite a bit.
Tue May 14, 2013, 09:58 AM
May 2013

If I tested positive for this gene, I would opt to have it all removed. I wouldn't want to take the chance with any of the tissue left.

HappyMe

(20,277 posts)
35. According to a quick look at wikipedia
Tue May 14, 2013, 10:37 AM
May 2013

lymph node dissection, radiation treatments and any breast surgery can cause that.

Neoma

(10,039 posts)
37. Well, they usually take out the lymph nodes because that's how cancer spreads to other parts of the
Tue May 14, 2013, 11:32 AM
May 2013

body. Besides that, you can get cancer on your lymph nodes. But I don't wish lymphadema on anybody.

Neoma

(10,039 posts)
40. Yeah, my doctor died from that...
Tue May 14, 2013, 12:06 PM
May 2013

I've seen lymphadema go both ways I guess. No need for a sleeve in the day, in good health... Or in bad health, need for a sleeve and glove for all day every day and a compression cast to wear every night. Along with the inability to go into high altitudes.

justiceischeap

(14,040 posts)
41. Where I had my first mammogram done, they also offer MRI breast screenings.
Tue May 14, 2013, 12:19 PM
May 2013

So, mammograms aren't the only option any longer.

HappyMe

(20,277 posts)
42. I would imagine they would have to.
Tue May 14, 2013, 12:23 PM
May 2013

If you have smaller breasts, I don't think they would be able to get mushed into the mammogram machine.

BlancheSplanchnik

(20,219 posts)
22. wow...even more brave when the world of film values women primarily for their boobs
Tue May 14, 2013, 04:21 AM
May 2013

Any other woman could pretty much kiss her acting career goodbye.

 

LittleBlue

(10,362 posts)
24. That is so sad
Tue May 14, 2013, 04:41 AM
May 2013

A tragic twist. To have the world's most admired breasts and have to give them up. Goddamn cancer, what a plague it is.

Everything I read about her makes me admire her more. She and Brad are nothing like the aloof elites you read about. That article made me sad.

Good luck, Angie!

Brickbat

(19,339 posts)
26. Respect. I have a friend who just discovered she has BRCA1 and she is considering her options; she
Tue May 14, 2013, 08:13 AM
May 2013

found this piece very helpful and comforting. K&R.

1-Old-Man

(2,667 posts)
43. Preventative?
Tue May 14, 2013, 12:28 PM
May 2013

Am I correct that there was no cancer to be found? If so then I think she did the wrong thing. While I'd agree that it might be the right decision when the first indication of a tumor being present was found I don't think I'd do it preemptively.

Merlot

(9,696 posts)
45. The test gave her an 87% chance of getting breast cancer
Tue May 14, 2013, 11:08 PM
May 2013

and her mother died in her early 50's after fighting cancer for 10 years. Jolie didn't want to put her 6 children through any grief.

I can understand why she did it.

proverbialwisdom

(4,959 posts)
46. Update.
Tue Mar 24, 2015, 02:03 PM
Mar 2015
http://www.nytimes.com/2015/03/24/opinion/angelina-jolie-pitt-diary-of-a-surgery.html

Angelina Jolie Pitt: Diary of a Surgery
By ANGELINA JOLIE PITT
MARCH 24, 2015


...It is not easy to make these decisions. But it is possible to take control and tackle head-on any health issue. You can seek advice, learn about the options and make choices that are right for you. Knowledge is power.

Angelina Jolie Pitt is a filmmaker and special envoy of the United Nations High Commissioner for Refugees.


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