Angelina Jolie's prophylactic surgery

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Comments

  • Lily55
    Lily55 Member Posts: 3,534
    edited May 2013

    Yes i am pissed i had cancer but the surgery for many in this country is brutal, most women HAVE to live without a breast or breasts for about two years and if there is recon or not there is a lot more than small scars.........and public perception will remember AJ making it like its easy with little after effects and its not, and i stand by that criticism of her........

  • Shayne
    Shayne Member Posts: 1,500
    edited May 2013

    Is the surgery different for someone who is doing this as an elective preventative surgery vs someone is having the surgery as part of cancer treatment?

  • Lily55
    Lily55 Member Posts: 3,534
    edited May 2013

    Yes significantly so depending on type of cancer, location and treatment plan, she had the best of the best option wise, nipple and skin sparing

  • beacon800
    beacon800 Member Posts: 922
    edited May 2013

    Shayne the surgery can be very different or very similar depending on the cancer type/size/location.

    One of the biggest differences in AJs case would be that most likely (and I don't know for sure which way she went) she would not have a sentinel node biopsy.  Just this alone makes the recovery vastly easier and faster and the long run side effects profile (cording, lymphedema) much less likely.  If you have invasive cancer, sentinel node biopsy is a necessity. 

    If you have a cancer nearby the nipple, you cannot do nipple sparing like AJ did.  However, it is somewhat controversial to do nipple sparing on a BRCA+ case.  AJ is taking a small (and I am sure highly calculated) risk on that.  Leaving the nipple does allow a small amount of breast tissue cells to stay on the nipple.  The recurrence data on this is probably very new and constantly changing.

    I met with the women from FORCE in my area.  They are all BRCA+ and all have bilaterals.  Some were prophy, some were to treat cancer.  None had nipple sparing surgery.  However that was in 2009 and things are always changing.  At that time the highest level of risk reduction included removal of the nipple/aureola complex.

    There are plenty of women on these boards who had invasive cancer and did do nipple and skin sparing MX, so it is totally possible depending on your unique case.

  • Shayne
    Shayne Member Posts: 1,500
    edited May 2013

    Thanks beacon!

  • beacon800
    beacon800 Member Posts: 922
    edited May 2013

    On another thread here a poster tells us there is a blog on Pink Lotus' website on all the procedures AJ had.  I just took a look.  What a stunningly generous thing AJ did to allow that detailed info to be released!  In there it tells about the BRILLIANT solution to the sentinel node biopsy decision.  They inject the dye, do the mx without taking the nodes, and if hidden cancer is found they go back to surgery and take the nodes which apparently will still be identified by they dye they hold. 

    This is the BEST idea and a really big deal for women, especially DCIS and LCIS ladies.  I hope this goes mainstream as it would save a lot of women a lot of recovery and complications.

  • Papillon1
    Papillon1 Member Posts: 308
    edited May 2013

    I think its great she s spreading the word. Surely no one will just rock up to the op thinking its a breeze, doctors will speak with them before that stage..



    I am in discussion with a genetic oncologist and may have the test. But tbh I just want to take my breasts off now. Mum is currently stage 4. Her mum died the same way. As did my fathers sister. My fathers mum had ovaian. This may not be a strong family history as far as doctors are concerned, it may not be BRAC linked, may be something else so BRAC test may be pointless a it is limited to just those mutations. the c in my families may just be chance, but I don't want any chance. I want to take as much cautionary action as I can. I want a Mastectomy anyway...i want to know i am taking steps....Is this mad?.......

  • SelenaWolf
    SelenaWolf Member Posts: 1,724
    edited May 2013

    As I understand it the more first-degree relations you have who developed breast cancer - especially prior to the age of 50 - increases your risk of possibly having a genetic mutation.  Any relative with ovarian cancer increases that risk even more.  Your post says that you have three first-degree relatives with breast cancer and one first-degree relative with ovarian cancer.  I think that that is a strong enough family history to qualify you for the genetic test.

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited May 2013

    At this point the BRCA test identifies a very limited number of mutations. There seems to be a good chance that there are others yet to be found.



    Lily,

    I had DCIS and IDC in the same breast and was able to have a skin/nipple sparing mastectomy. Easy recovery, one step implants, great results. I know a few other women who had DCIS and LCIS who had skin/nipple sparing bmx, TE's and then implants. Neither of them had issues. It is possible! If you're using this forum as a yardstick, it's pretty stilted as those who have problems are much more likely to post. Does recon cause problems? Yes, for some, no for others and impossible to predict which group you'll fall into. That doesn't make my story or AJ's any less valid.

    Caryn

  • Lily55
    Lily55 Member Posts: 3,534
    edited May 2013

    I did not say it makes anyones experience less valid, but that it gives misleading info about mastectomies nor does it differentiate between simple mastectomy and the other two types......I am pretty fed up with the way my words are being twisted by so many people

  • shianne29
    shianne29 Member Posts: 452
    edited May 2013

    Lily you are so right!!! She made the surgery sound insignificant!! I'm pissed about the whole thing. The media coverage that claims awareness has been raised...FUCK awareness. Find a cure, everyone knows about BC. The fact that she states back to normal in a couple days will create depression in patients having mx/bmx because they HAD cancer and are still in bed after a couple days, hell the drains aren't even out for a week or more! Small scars?? Really, the one across my abdomen is far from small. Her kids see normal mommy? Mine don't. And I doubt any child whose mother was forced thru chemopause and baldness, rad burns and projectile vomiting sees their mommy either. Fact is, she did not raise anything for BC, she didn't have a bmx due to BC she had a boob job. She is not brave or admirable. I respect her choice as I'm sure it was difficult, however, if I was given that same choice it would be a no brainier. No lost sleep, no stress, no feelings of control lost or betrayal by my body. Yes, I'm angry too, bloody right!! Not at her, at this disease but also for the media that glorifies the fact that the only option to prevent it is amputation. If AJ wants to help in this cause, make THAT statement. Amputation is the only prevention, and that's not acceptable. But do NOT simplify the procedures that I was forced to have. Do NOT put into people's minds that recovery is easy and quick. It's hard enough getting support and assistance after, women are supposed to be everything; mommy, partner, teacher, cook, nurse, the time we need to recover is cut short enough by demands of life, do NOT diminish that.

  • Estel
    Estel Member Posts: 3,353
    edited May 2013

    JoanQuilts - Thank you!  

    I watched my mother die of BC and was diagnosed myself two months before her death.  My grandmother had BC as well. I was dx at 39 and tested negative for Brac1 and 2.  Because of dense breast tissue that is hard to read on a mammo, of my age and b/c of my history I had a prophylatic MX on my right side and while my DX was 'only' DCIS ... I had my left removed as well.  

    I totally agree with everything you said in your blog.

    Thanks for sharing.  

  • farmerlucy
    farmerlucy Member Posts: 3,985
    edited May 2013

    Thanks for the tip Beacon. Wow - talk about full disclosure. That was an incredibly informative description of her procedures.

  • fmaury
    fmaury Member Posts: 32
    edited May 2013

    Lily and Luane, I'm with you. I already had a poor opinion of Angelina Jolie because every thing she does seems to be calculated for maximum media exposure, but oversimplification of a painful and scary procedure is particularly misleading to women who have to make this difficult choice. I love the analogy to a boob job. I made the BMX decision because I already had cancer in one breast and was not eligible for lumpectomy or nipple sparing mastectomy. I just got through the final stage: nipple reconstruction and it was no picnic. I am sure AJ looks great and I am glad she has lowered her risk. But I still think of her as self absorbed, publicity hungry, and basically clueless.



    Caroline

  • shianne29
    shianne29 Member Posts: 452
    edited May 2013

    Fmaury, lol, that's pretty much how I describe her. I'm so tired of opening a magazine and seeing her with all her kids. Like, really? You couldn't adopt one from your own country that is hungry, poor, and in need of love and shelter?? In my opinion, she just likes to see herself in the media.

  • Moderators
    Moderators Member Posts: 25,912
    edited May 2013

    Dr. Marisa Weiss, founder of Breastcancer.org, is among the experts weighing in on preventive mastectomy following the news of Angelina Jolie's double mastectomy, in this article from the May 14 Wall Street Journal.

    Dr. Weiss is also scheduled to appear on The Dr. Oz Show. Check your local listings for time.

  • Letlet
    Letlet Member Posts: 1,053
    edited May 2013

    How is it that she had a "boob job"? The last time I checked a prophylactic mastectomy was still a mastectomy. She had all her breast tissue removed from both her breasts and more information released today states she had implants with alloderm to keep it in place. She probably has no sensation across her chest as most women who have had a MX experience. I had a mastectomy too and have a silicone implant - I did not have a "boob job".

    When she refers to her scars, it also relates as to how her children see her. Every now and then I jokingly refer to my chest as Frankenboob - it pisses the hell out of my husband but to my kids (8 and 4) its "Mommy" and I'm sure her kids see her that way too.

    She's just telling her story. She doesn't have to breakdown in her article the different types of mastectomies or plan A or B or C or if you are a lady in XYZ situation you can do this, this, this. This is her situation, her story. She is not speaking for other women. She can't talk about huge scars that she incurred because I doubt she had an ALND and I doubt that she had a dIEP. I don't think she was minimizing people's experiences but just telling her story.

    I endured hellish chemo, radiation burns and the loss of my breast. If someone told me 5 years ago that I had an 87% chance of getting BC and there was a way for me NOT to get it and NOT to go through hell on earth I would probably do the same. She watched her mom die of ovarian cancer as well. I don't think this is a decision she chose lightly. 

    She made a career on making movies, can you imagine acting out a lovescene? My eyes would have to be open to know that my boob is being touched I don't know how she'll manage.

  • Estel
    Estel Member Posts: 3,353
    edited May 2013

    Mods - Thank you.  Very good article as well.

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited May 2013

    "She's just telling her story" Yes, that's it, plain and simple. I don't read anything more into it than that. As for questioning where she has adopted her children from, that is simply out of line. I have known many people who have adopted children from other countries for a variety of reasons. It is a personal decision and one that we have no right to question.

  • Papillon1
    Papillon1 Member Posts: 308
    edited May 2013

    Exactly its just her story, other women would discuss it with their doctor and tent the full picture before being offered surgery anyway.

    When I think about joke it is like a boob job. I joke I want new boobs for my 40th. Is just a way to try and make light of something that is distressing, trying to not take life to seriously.

    God luck to all and their own personal decision yes I have three first degree relatives but not all on the same side of the family so maybe or maybe not genetic...even if I am BAC negative I want to discuss surgery.,,as a previous Poster pointed out, even BRAC negative women get bc, there are other genetic mutations or reasons that run within families. I am scared.

  • May2014
    May2014 Member Posts: 2
    edited May 2013

    Joanquilts,

                     You are very talented with words, I loved your article. Did you also do the sketch of Angelina? If you did then it's really great. I hope Angelina gets to read it.

            

  • anderson111
    anderson111 Member Posts: 12
    edited May 2013

    She is a real fighter... Iam a big fan of her

  • Anonymous
    Anonymous Member Posts: 1,376
    edited May 2013

    Another thought I had regarding the "tiny scar" comment: I was with my mom when she had her first diagnosis and mastectomy 26 years ago. That surgery was done by a general surgeon. Mom did not have reconstruction. Went through my mom's second diagnosis and mastectomy about 8 years ago. Again, no recon. The cosmetic difference between those two surgeries was quite vast. And then my own BMX this past fall, performed by a good breast surgeon and closed by my PS after he placed TE's....



    My scars, though the line goes from near my armpit, across each breast probably 3/4's of the way ARE tiny in comparison to my mom's first surgery. Angelina's nipple sparing scars would be even smaller/less noticeable. I do not know when her mother had her mastectomies, but the comparison to what she saw on HER mom quite possibly matches my experience. When I chose to go with a double mastectomy following a very early IDC catch, I chose so with the image of my mom's first surgery results. I have been pleasantly surprised by my results. Not perfect, not the real thing, not something I would wish on anyone.....but vastly better than what I had anticipated.



  • cp418
    cp418 Member Posts: 7,079
    edited May 2013

    https://www.fshealth.com/news/1591334/angelina-jolie-will-have-ovaries-removed-to-lower-chances-of-cancer-report/?utm_source=referral&utm_medium=content_cpc&utm_campaign=Outbrain_article

    Angelina Jolie Will Have Ovaries Removed to Lower Chances of Cancer: Report

    AJ -

    "For any woman reading this, I hope it helps you to know you have options. I want to encourage every woman, especially if you have a family history of breast or ovarian cancer, to seek out the information and medical experts who can help you through this aspect of your life, and to make your own informed choices."

  • shianne29
    shianne29 Member Posts: 452
    edited May 2013

    All you AJ LOVERS are unbelievable!! Read it again, then read scholarly articles about prophylactic mx. She had a senseless surgery. She is after attention because her career is sagging and her and her "brood" are out of the limelight. Yes BOB JOB compared to what I had, she had a boob job.



    Stop idolizing what one woman did, many before have done the same without all the media fuss.

  • Papillon1
    Papillon1 Member Posts: 308
    edited May 2013

    Senseless surgery? My doctor didnt use those words...





    No one is idolising her. We are perhaps appreciative of her bringing the issue to the media I think?

    Until a year ago when my gyno mentioned BRAC I didn't know a test existed.



    If your daughter was offered the test and the operation maybe you would feel different?

  • Shayne
    Shayne Member Posts: 1,500
    edited May 2013

    hate talk is so unflattering

  • SelenaWolf
    SelenaWolf Member Posts: 1,724
    edited May 2013

    Hear, hear!  I am gobsmacked at the pettiness.

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited May 2013

    Joan your article is very nicely written. I wrote this this morning on STFU thread and am reposting it here.

    2 hours ago, edited 2 hours ago    by sas-schatzi

    I'm going to take the side of Jolie. She could have made the media splash a self promoting thing. In reading her words, they are carefully chosen to teach others something about BC and what may save their lives. No other actor has done it this way. Her work with the United Nations for years is well publicized. Any Power person that has done this knows the benefit of a Name being attached to a cause. In many cases the media wouldn't comment on the "cause" without the Star being there. Princess Diana, Audrey Hepburn, Matt Damon, Bob Hope, even Mother Theresa, countless others have done this. Jolie's present project with the UN announced the same day, or given media coverage on the day of the BC thing, is on the Un's initiative to bring awareness of, and fight against the rape of women in waring countries through the Geneva Convention rules. That rape of women in war would be treated alongside other atrocities and the prepatrators be held accountable and punished. Yes, her face and bod are photographed through these political "shows', but the media is there in part because she is there.

    I know using Mother Theresa and Jolie in the same sentence sounds out there. But MT did the same thing in her travels around the world. Media would cover where she went. So, she went. This brought much needed exposure to the plight of the poor.

    Are there women and men today that know more about BC, than they knew the day before Jolie's announcement? Are there more that know about genetic history and Braca genes? Are there more that know that having a first degree relative changes their risk? Are there more that know that there is an elective route?

    I'll bring the link here again, apply the questions to what she has written. See how many things she taught in the one article.

    www.nytimes.com/2013/05/14/opi...

    Remember we, regretfully, are saturated with all that is BC. What did we know beyond the yearly Mammo, before we got the "call". How many posts and threads deal daily with the STUPIDS. Are those STUPIDS less stupid today, I hope. I believe Jolie has hepled.


    Looking for Jolie's link found an article by another Star, Marlo Thomas. Where would St. Jude's hospital be without Marlo as spokesperson. She's carried her Father's banner.

    www.huffingtonpost.com/marlo-t...

    There is an explosion of articles discussing the pro's and con's of the Jolie thing. It's caused allot of ruckus. How many lives will be saved because of the ruckus?




    Marlo's words, a domino affect. The full article is very nicely written.

    "Angelina Jolie sent us a very different message this week: that even though much of her fame and power have been rooted in her beauty (and beautiful body), in making this decision she claimed a different kind of power. Knowing that she carried the BRCA mutation that raised her risk of breast cancer to an astounding 87 percent, she willingly chose to undergo a surgery that forces all of us to rethink our fear: that it's not our breasts we have to worry about, it's our lives.

    Angelina sacrificed her breasts in order to save her own life - the life of a wife, mother, actress, humanitarian and, yes, movie star. She came out to the world not as a victim but as a woman taking control. She reduced the odds that her children will be left motherless, her husband widowed. With reconstructive surgery, her breasts are still a visible sign of her female beauty - the vulnerable tissue that was removed from within them was only that, tissue.  It's not what was inside her breasts that make her a woman, it's what's inside her head and heart.

    I'm so impressed with Angelina, not just for choosing the surgery but for publicly asserting her power over her body. Not every woman facing her odds (or a new diagnosis) will make the same choice, nor should she. The point is that we have choices now that we didn't have just a few years ago. The science of genomics has made available amazing amounts of new information. Some of it we can't act on, but some of it we can -- and Angelina did. Now that is power.

    "I do not feel any less of a woman," Angelina declared. "I feel empowered that I made a strong choice that in no way diminishes my femininity."  as written by Marlo Thomas


  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited May 2013

    In 2008, I started through the Elective PMX process because of family history. First visit to the Mo, I gave him a cancer tree. The numbers of cancers on paternal side are staggering. 12 of 21 women: 3 aunts/7first cousins/1 twin/me; 9 BC, 1 uterine, 1 rare ca of lung found on thumb but not in lung, 1 liver; 5 of 12 have died; BC 3 premenopausal and 6post menopausal. Only three tested for Braca-neg. Most were pre-braca test available. If you caught that i was part of the stats, good catch.

    After the diagnostic Mammo, I received a NED report, and still have the letter. Next step was a diagnostic MRI. There was a delay from Aug till Dec between the two. There was no imperative b/c of clean mammo. BINGO MRI picked up an IDC. BX Jan 23rd 2009 Grade 2(6), BMX Feb18th Grade 3(8). No sampling error at relook of BX slides. Not even a month and i went from a 6-8. Very aggressive. So, I became a statistic in the family cancer tree. Presumptive, but I maintain I wouldn't be here if I hadn't been on the PMX track.

    As I wrote in my post from this morning I support Jolie. I'll add, I think she has done more this week for BC than will ever be able to measured. Only so much can be written in one article. To pick her words apart is disingenous. It's her story as others have pointed out. Not my story. Not your story.

    Her story will be told and retold everytime the media writes something about her from here on out. Each time it will change lives.

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