安吉丽娜朱莉的手术日记

Nothing in the examination or ultrasound was concerning. I was relieved that if it was cancer, it wasmost likely in the early stages. If it was somewhere else in my body, I would know in five days. Ipassed those five days in a haze, attending my children’s soccer game, and working to stay calmand focused.

超声波检查并无异样。我也终于松了口气，因为即使是癌症，也极可能还处于早期阶段。如果是身体其他部分的问题，我将会在五天内得到通知。于是，我度过了昏昏沉沉的五天，参加了孩子们的足球赛，忙着工作试图保持冷静和专注。

The day of the results came. The PET/CT scan looked clear, and the tumor test was negative. Iwas full of happiness, although the radioactive tracer meant I couldn’t hug my children. There wasstill a chance of early stage cancer, but that was minor compared with a full-blown tumor. To myrelief, I still had the option of removing my ovaries and fallopian tubes and I chose to do it.

终于到了出结果的那天。PET/CT扫描清楚地显示没有肿瘤迹象，而肿瘤检测也呈阴性。尽管因为体内有放射性示踪剂，我还不能和孩子们拥抱，但我还是满心欢喜。虽然，早期癌症的风险仍在，但是相比较全面爆发的肿瘤，这已经不算什么了。庆幸地是，我还有机会可以选择进行卵巢和输卵管摘除术，于是我决定进行手术。

I did not do this solely because I carry the BRCA1 gene mutation, and I want other women to hearthis. A positive BRCA test does not mean a leap to surgery. I have spoken to many doctors,surgeons and naturopaths. There are other options. Some women take birth control pills or rely onalternative medicines combined with frequent checks. There is more than one way to deal with anyhealth issue. The most important thing is to learn about the options and choose what is right foryou personally.

我想告诉其他女性的是，我做这个决定并不仅仅是因为携带了BRCA1突变基因。仅仅是BRCA基因检测呈阳性，并不意味着你需要立即接受手术。我曾咨询过许多大夫、外科医生，还有理疗专家，得知对此还有其他的治疗方式可供选择，比如口服避孕药或者代替药物，并结合定期检查进行治疗。面对健康问题，解决之道往往不止一种，而最重要的是了解这些解决方案，并从中选择最适合自己的一种。

In my case, the Eastern and Western doctors I met agreed that surgery to remove my tubes andovaries was the best option, because on top of the BRCA gene, three women in my family havedied from cancer. My doctors indicated I should have preventive surgery about a decade beforethe earliest onset of cancer in my female relatives. My mother’s ovarian cancer was diagnosedwhen she was 49. I’m 39.

拿我的例子来说，中西医在诊断之后，都认为摘除卵巢和输卵管是我最好的选择，因为我不仅携带突变BRCA基因，还有三位女性亲人死于癌症。我的医生们表示，相比女性亲人们最早出现癌症症状的年纪，我应该提前十年进行预防性手术。我妈在49岁时被诊断出卵巢癌，而我今年已经39岁了。

Last week, I had the procedure: a laparoscopic bilateral salpingo-oophorectomy. There was a smallbenign tumor on one ovary, but no signs of cancer in any of the tissues.

上个星期，我做了腹腔镜双侧输卵管卵巢切除术。在我的一侧卵巢上已经有了一个小型良性肿瘤，但病理显示没有癌症迹象。

I have a little clear patch that contains bio-identical estrogen. A progesterone IUD was inserted inmy uterus. It will help me maintain a hormonal balance, but more important it will help preventuterine cancer. I chose to keep my uterus because cancer in that location is not part of my familyhistory.

我还在身体里打了个“补丁”，里面装着替代性雌激素。而我的子宫里还有一个一个孕激素节育器，用以维持我的激素平衡，更重要的是预防子宫癌。我选择留下子宫，因为我的家族病史中并没有子宫癌。

It is not possible to remove all risk, and the fact is I remain prone to cancer. I will look for naturalways to strengthen my immune system. I feel feminine, and grounded in the choices I am makingfor myself and my family. I know my children will never have to say, “Mom died of ovarian cancer.”

排除所有的风险是不可能的，事实上我依旧属于癌症高发人群。但我将会寻求自然的方式增强免疫系统。我为自己和家庭做出了这样的选择，这是理智的。至少我的孩子们以后绝不会说 “我的妈妈死于卵巢癌”这样的话了。

Regardless of the hormone replacements I’m taking, I am now in menopause. I will not be able tohave any more children, and I expect some physical changes. But I feel at ease with whatever willcome, not because I am strong but because this is a part of life. It is nothing to be feared.

虽然我使用了激素代替物，但是我现在还是停经了，不能再生育小孩，身体也将出现变化。但我将坦然接受所有的结果，这并不是因为我多么坚强，而是因为这就是我生命的一部分，没什么可怕的。

I feel deeply for women for whom this moment comes very early in life, before they have had theirchildren. Their situation is far harder than mine. I inquired and found out that there are options forwomen to remove their fallopian tubes but keep their ovaries, and so retain the ability to bearchildren and not go into menopause. I hope they can be aware of that.

我深深地体谅那些很早就遭遇此劫，甚至还来不及拥有自己孩子的女性，她们的处境比我更为艰难。我还咨询到了一种摘除输卵管、保留卵巢的做法，接受这种治疗的女性就不会停经，保留生育能力。我希望她们能知道这种选择。

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

做出这样的决定并非易事，但是任何健康问题都是可控的，也有防患未然的可能。你可以寻求建议，了解不同的解决办法，做出最适合自己的选择。总而言之，知识就是力量。