The most prominent news in breast cancer today is the recent announcement by actress Angelina Jolie of her opting for bilateral prophylactic mastectomy (removal of both breasts) due to her high risk of developing breast cancer in the future, although she does not have breast cancer now.  It began with her mother’s recent fight with ovarian cancer, which then led to testing for a gene linked to both of these cancers.  It ended up that she does have the BRCA1 gene, which poses approximately between 65-87% risk for developing breast cancer throughout the afflicted person’s lifetime.  In addition, there is also an association with ovarian cancer. 

With this gene, it is recommended to have both breasts and ovaries surgically removed.  Angelina Jolie did undergo bilateral mastectomy, followed by immediate implant-based breast reconstruction.  She relates having a nipple-sparing mastectomy, in which the nipples are spared, as long as there was no diagnosed cancer in the ductal tissue when tested.  Breast reconstruction is certainly an option for any woman after a mastectomy.  She said that she hoped that other women would find encouragement from her story.

“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,” Jolie said in the Times article. “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.”

“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.”

I would hope that this announcement by such a prominent figure helps even more in the fight against breast cancer, not only in awareness and options, but in research, funding, and eventual cure of this disease. 


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