It can be speculated that this is an expensive operation. As netizens said, the public can bear the cost of testing, but not all of them can accept this kind of surgery. As can be seen from the article translated by @ and Caitou, her operation is carried out in stages. Step one, keep the nipple. In order to preserve the nipple, it is necessary to rebuild the blood vessels for the nipple, and the blood vessels originally from the breast cannot be reused because the latter will be removed in the second operation. After ensuring the successful preservation of the nipple, the second stage operation is carried out, that is, all the breast tissues except the nipple and the skin on the surface of the breast are removed, and then the breast augmentation operation is carried out by filling and breast reconstruction.
The operation was perfect and the ending was ideal. Not only breast surgeons need excision, but also plastic surgeons need reconstruction, which is why Julie said in her article that the operation is complicated. At present, more and more attention has been paid to breast reconstruction after breast cancer surgery in China, and most patients can get satisfactory breast reconstruction after surgery.
According to Julie's article, it can be speculated that her next operation may be to remove both ovaries and fallopian tubes shortly after the age of 40. Why?
As mentioned earlier, tumors related to BRCA 1/2 mutation include ovarian cancer in addition to breast cancer, and even these two related diseases are called hereditary ovarian cancer breast cancer syndrome. So how high is the risk of ovarian cancer in women?
Generally speaking, if there are no ovarian cancer patients in a woman's family, the probability of ovarian cancer in her life is about 1.4%. If 1 first-degree relatives (mother, daughter, sister) get sick, the chance of ovarian cancer will increase to 5%, and if two or more first-degree relatives get sick, the chance of ovarian cancer will further increase to 7%. However, if it is determined to be a hereditary ovarian cancer family related to BRCA 1/2, the probability of ovarian development will suddenly increase to 40%-50%!
Ovary is an important endocrine organ for women, and it is also the organ with the most kinds of malignant tumors. It is difficult to find cancer early after ovarian cancer, and the treatment effect is very poor. In the past, oncologists thought that for women over 35 years old, if the uterus was removed for other reasons, both ovaries could be removed at the same time to prevent ovarian cancer. Later, people realized that this view is biased, because the risk of ovarian cancer in women is not high, and the risk of cardiovascular and cerebrovascular diseases caused by the decrease of hormone levels after ovariectomy is much higher than the risk of ovarian cancer death. Therefore, ovariectomy is generally not recommended for ordinary premenopausal women. However, for women from the hereditary ovarian cancer syndrome family, they need to be very active. Some people think that these women should have their ovaries removed preventively after completing their reproductive tasks, or after the age of 35 and at most 40, so as to reduce the risk of ovarian cancer; After ovariectomy, the risk of breast cancer and recurrence will also be reduced. So it is speculated that Julie's next step should be to target the ovaries. For ovarian resection without cancer, the operation itself is very simple, much simpler than mastectomy and reconstruction.
Angelina Jolie announced her diagnosis and treatment experience to the society, hoping to draw people's attention to a special type of breast cancer and ovarian cancer and a cancer-related gene BRCA. But the public should not panic because of this, as Julie Wen said at the end: life is always accompanied by countless challenges, and only those challenges that we can undertake and control will not make us afraid.
However, for Angelina Jolie's operation, her prospective mother-in-law and her fiance Pete's Christian mother supported her courage. In view of their unhappy relationship, this move is very helpful for them to restore their relationship.
Julie's fiance is Brad Pitt, who is known as a handsome Hollywood guy, and Pete's mother is a devout Christian named Jane Pitt, who is a believer of the Southern Baptist Church. Based on her beliefs, she opposes abortion and homosexuality. But Julie, who has been with her son for seven years, is a homosexual, and Julie was bisexual in her early days.
In addition, Jane insisted on buying feminine clothes for her granddaughter Shiloh. Four-year-old Shiloh always wears boys' clothes, which makes Jane a little worried. But this is considered by Julie as a very disrespectful act, and she is very angry. Different outlook on life makes the relationship between two people somewhat disharmonious.
Although Brad Pitt grew up in a church, he gave up his faith in college. Because he has many prejudices and misunderstandings about Christian belief, these are affecting his return to the embrace of God.
Julie seldom talks about her beliefs. It is reported that she is greatly influenced by Buddhism and has a tattoo of Buddha prayer on her left scapula. On the religious attitude towards her six children, she once said that she and Pete should respect everyone when educating their children. In their home, there is a study with books such as Bible, Jewish Law and Koran. The two often take their six children to churches, temples and mosques to receive various religious education, but what religious beliefs are chosen by the children themselves.
Facing the feelings of her son Brad Pitt and his girlfriend Julie, Jane was unwilling to accept them at first, and then slowly prayed for them. She has been working hard for their rebirth and redemption. On July 20 12, she gave her son and Julie a very beautiful Bible as their future wedding gift, which also conveyed her expectation and blessing.
This time, Julie chose to have her breasts removed. Jane thinks Julie is brave, but influenced by the principle of life first in Christianity. This understanding improved their relationship.