6 questions about Angelina Jolie's Double Mastectomy

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Angelina Jolie had a preventative double mastectomy, meaning she chose to have both her breasts removed even though she had not been diagnosed with cancer.


A Canadian breast cancer specialist wants people to learn from actress Angelina Jolie's experience and seek genetic testing.

Jolie wrote an op-ed piece that appeared in the New York Times Tuesday called 'My Medical Choice' about her decision to have a preventive double mastectomy after her mother died of cancer at age 56 and tests for the 'faulty' BRCA 1 mutation revealed she had a high likelihood of developing breast and ovarian cancer.

Below we answer some questions about the procedure:

Is the testing covered in Canada?
Provincial health plans cover the cost of BRCA1 and BRCA2 mutation testing in patients that meet criteria, such as a diagnosis of breast or ovarian cancer in a family history.

'Only 10 per cent of the women with a mutation have been identified, so if we can use this to increase the number to 20 or 25 per cent I think that would be an opportunity,' said Dr. Steven Narod, director of the Familial Breast Cancer Research Unit at Women's College Research Institute in Toronto.

The main factors that keep women from getting the blood test for the mutation are that they don't know that tests are available and doctors don't regularly ask about family medical hist.

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    6 questions about Angelina Jolie's Double Mastectomy

    Angelina Jolie had a preventative double mastectomy, meaning she chose to have both her breasts removed even though she had not been diagnosed with cancer.


    A Canadian breast cancer specialist wants people to learn from actress Angelina Jolie's experience and seek genetic testing.

    Jolie wrote an op-ed piece that appeared in the New York Times Tuesday called 'My Medical Choice' about her decision to have a preventive double mastectomy after her mother died of cancer at age 56 and tests for the 'faulty' BRCA 1 mutation revealed she had a high likelihood of developing breast and ovarian cancer.

    Below we answer some questions about the procedure:

    Is the testing covered in Canada?
    Provincial health plans cover the cost of BRCA1 and BRCA2 mutation testing in patients that meet criteria, such as a diagnosis of breast or ovarian cancer in a family history.

    'Only 10 per cent of the women with a mutation have been identified, so if we can use this to increase the number to 20 or 25 per cent I think that would be an opportunity,' said Dr. Steven Narod, director of the Familial Breast Cancer Research Unit at Women's College Research Institute in Toronto.

    The main factors that keep women from getting the blood test for the mutation are that they don't know that tests are available and doctors don't regularly ask about family medical hist

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    American actress Angelina Jolie has written about her decision to have a double mastectomy.

    The Oscar-winner was found to have a faulty gene which sharply increases the chance of her developing breast and ovarian cancer.

    Jolie, who lives with Hollywood star Brad Pitt, says in an article for the New York Times that her mother fought cancer for 10 years before her death.

    She writes: 'My doctors estimated that I had an 87% risk of breast cancer and a 50% risk of ovarian cancer, although the risk is different in the case of each woman.

    'Only a fraction of breast cancers result from an inherited gene mutation. Those with a defect in BRCA1 have a 65% risk of getting it, on average.
    'Once I knew that this was my reality, I decided to be proactive and to minimise the risk as much I could. I made a decision to have a preventive double mastectomy.'

    Jolie, 37, who has six children - three by Pitt and three adopted - goes on: 'On April 27, I finished the three months of medical procedures that the mastectomies involved.

    'During that time I have been able to keep this private and to carry on with my work. But I am writing about it now because I hope that other women can benefit from my experience.

    'Cancer is still a word that strikes fear into people’s hearts, producing a deep sense of powerlessness.

    'But today it is possibl

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    Angelina Jolie revealed on Tuesday that she has undergone a double mastectomy to reduce her high risk of breast cancer, saying she is speaking out to encourage women address threats to their health.

    Jolie, whose mother died of cancer at the age of 56, said she had managed to keep the issue quiet and continue working. Her medical procedures ended late last month. 'But I am writing about it now because I hope that other women can benefit from my experience,' she said.

    The 37-year-old American actress wrote in an opinion piece entitled 'My Medical Choice' in The New York Times that she had chosen the procedure because she carries a faulty gene that increases her risk of both breast and ovarian cancer.

    Jolie, one of Hollywood's best-known faces and the partner of actor Brad Pitt, said that because of this gene, known as BRCA1, her doctors estimated she had an 87 per cent risk of breast cancer and a 50 per cent risk of ovarian cancer.

    'Once I knew that this was my reality, I decided to be proactive and to minimize the risk as much I could. I made a decision to have a preventive double mastectomy,' she wrote.

    'I started with the breasts, as my risk of breast cancer is higher than my risk of ovarian cancer, and the surgery is more complex,' Jolie wrote.

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    Oscar-winning actress Angelina Jolie announced on Tuesday that she had a preventative mastectomy after learning she had a gene that significantly raised her risk of breast cancer. Here's a crash course in the procedure Jolie had and why.
    Q: What kind of surgery did Jolie have?
    A: Jolie had a preventative double mastectomy, meaning she chose to have both her breasts removed even though she had not been diagnosed with cancer.
    Q: Why did she have the mastectomies?
    A: Jolie says that she has a 'faulty' version of the BRCA1 gene that means she had an 87 percent chance of getting breast cancer. By having both breasts removed preventatively, she said her breast cancer risk drops to below 5 percent.
    Q: What did the procedure involve?
    A: In double mastectomies, surgeons typically remove as much breast tissue as possible. In Jolie's case, because she was having a reconstruction done shortly afterward, the doctors preserved the skin covering her breasts, inserting 'fillers' where the breast tissue would have been, to keep the skin elastic. According to Jolie, she had implants put in nine weeks later.
    Q: How many women have this faulty gene?
    A: Only a small percentage of women have this same faulty gene, or a similar mutated version of a related gene, BRCA2. These mutations are most commonly found in women of Eastern European Jewish descent; one study found 2.3 percent of women in that group had the mut

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    The Oscar-winning actress and partner to Brad Pitt made the announcement in the form of an op-ed she authored for Tuesday's New York Times under the headline, “My Medical Choice.” She writes that between early February and late April she completed three months of surgical procedures to remove both breasts.

    Jolie, 37, writes that she made the choice with thoughts of her six children after watching her own mother die too young from breast cancer.

    “My mother fought cancer for almost a decade and died at 56,” Jolie writes. “She held out long enough to meet the first of her grandchildren and to hold them in her arms. But my other children will never have the chance to know her and experience how loving and gracious she was.”

    She writes that, “They have asked if the same could happen to me.”
    Jolie said that after genetic testing she learned she carries the “faulty” BRCA1 gene and had an 87 percent chance of getting the disease herself.

    She said she has kept the process private so far, but wrote about with hopes of helping other women.

    “I wanted to write this to tell other women that the decision to have a mastectomy was not easy. But it is one I am very happy that I made,” Jolie writes. “My chances of developing breast canc

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