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Angelina Jolie Speaks Out About Having a Mastectomy

By Jenny Housh HERWriter Guide
 
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Angelina Jolie Speaks Out About Having a Mastectomy 3 5 16
Angelina Jolie Talks About Mastectomy
Csaba Deli/Photospin

Angelina Jolie made headlines and shocked many as she announced that she had made the decision to have a preventive double mastectomy. Jolie made the decision after being tested for a mutation of BRCA1, a tumor suppressor gene. The inherited mutation greatly increases a woman’s risk for developing breast and ovarian cancer.

In a New York Times article, Jolie wrote, “Once I knew that this was my reality, I decided to be proactive and to minimize the risk as much I could.”

Jolie’s mother, Marcheline Bertrand, died from ovarian cancer at age 56, after fighting cancer for almost a decade.

By deciding to have the preventive surgery, Jolie said she can tell her children they don’t have to worry about losing her to breast cancer.

“My doctors estimated that I had an 87 percent risk of breast cancer and a 50 percent risk of ovarian cancer,” Jolie said. After the surgery, her chances of breast cancer dropped to about 5 percent.

Sparing little detail, Jolie explained her procedure in the article, “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.”

Jolie said that two weeks later she returned for the major part of the surgery, where the breast tissue was removed and temporary fillers were put in place. “You wake up with drain tubes and expanders in your breasts. It does feel like a scene out of a science-fiction film,” Jolie said.

Nine weeks later Jolie returned one last time for implants, the final reconstruction step.

In contrast, the procedure of a simple mastectomy includes the removal of the entire breast including the nipple and areola. According to Mayo Clinic.com, a mastectomy without reconstruction usually takes one to three hours and a one- to two-day hospital stay.

Some women who choose to have nipple-sparing surgery are concerned that they may have a higher chance of getting breast cancer than non-nipple-sparing procedures. Because there is no breast tissue left behind the nipple, there isn't any increased risk with the procedure.

Add a Comment3 Comments

Jenny Housh HERWriter Guide

Susan, 

I agree. Prevention is a large part of today's medical conditions. Women should be given the tools they need to help them with this. 

My hope is that if women cannot obtain these types of tests now, they will be able to do so very soon. There is no reason it should be harder than a PAP to get. 

Thank you for sharing. 

May 16, 2013 - 12:23pm
SusanAdele

I think it is wonderful that Angelina shared her story for other women to learn from her experience. However, I it is not as simple for all women to go into a doctor's office and ask that he order a gene test.
In my experience I was told that you needed a concrete reason to do so. I had already gone through a mastectomy and the chemotherapy and radiation treatments, my mother had died from ovarian cancer, and other members of my family had gone the breast cancer journey themselves. Therefore, I was a good candidate for the test.
However, it is not available to all women, this should change. It should be just as easy to get as is a PAP smear. Why shouldn't there be a preventive measure for women? And the knowledge for our daughters and our granddaughters? Knowing if this gene is being carried is an important medical history for the future generations. Isn't preventive medicine more logical? There are so many young women finding out they have cancer these days, prevention might be another option they could have had.

May 16, 2013 - 10:59am
Shana O'Connor Guide Blogger

Jenny, you did an excellent job covering this story.

Thank you for providing the details around this big news to our community. It is great that people are starting to be more open in talking about our health experiences.

May 15, 2013 - 12:22pm
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We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.

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