继两年前宣布切除双侧乳腺后，为预防卵巢癌，安吉丽娜•朱莉又接受了卵巢和输卵管切除手术。来看看她发表在《纽约时报》的文章《手术日记》，了解这位美国女星的心路历程。

　　Two years ago I wrote about my choice to have a preventivedouble mastectomy. A simple blood test had revealed that Icarried a mutation in the BRCA1 gene. It gave me an estimated87 percent risk of breast cancer and a 50 percent risk of ovarian cancer. I lost my mother,grandmother and aunt to cancer.

　　两年前，我曾写过一篇文章，是关于我选择预防性双乳切除手术的。因为一项简单的血检显示，我的BRCA1基因存在突变。这意味着我患乳癌的概率高达87%，而患卵巢癌的概率高达50%。此外，我的母亲、外祖母和姨妈都因癌症去世。

　　I wanted other women at risk to know about the options. I promised to follow up with anyinformation that could be useful, including about my next preventive surgery, the removal of myovaries and fallopian tubes.

　　为了让其他高危女性了解我的选择，我曾经承诺会不断更新有用的消息，比如我接下来要做的预防性卵巢与输卵管摘除手术。

　　I had been planning this for some time. It is a less complex surgery than the mastectomy, but itseffects are more severe. It puts a woman into forced menopause. So I was readying myselfphysically and emotionally, discussing options with doctors, researching alternative medicine, andmapping my hormones for estrogen or progesterone replacement. But I felt I still had months tomake the date.

　　为了这个手术，我已计划了一段时间。虽然它没有乳腺切除术复杂，但影响却更严重，它会迫使女性绝经，进入更年期。因此，我做了很多身心准备工作，与医生探讨其他办法，研究替代性药物，规划雌激素和孕激素代替物。但我依然觉得自己还有好几个月的缓冲时间。

　　Then two weeks ago I got a call from my doctor with blood-test results. “Your CA-125 is normal,”he said. I breathed a sigh of relief. That test measures the amount of the protein CA-125 in theblood, and is used to monitor ovarian cancer. I have it every year because of my family history.

　　就在两周前，我接到了医生的电话，他告知我血检结果。听到他说“你的CA-125正常”时，我舒了一口气。血液中的CA-125蛋白含量是用来检测卵巢癌的一项指标。因为家族病史，我每年都会做这项测试。

　　But that wasn’t all. He went on. “There are a number of inflammatory markers that are elevated,and taken together they could be a sign of early cancer.” I took a pause. "CA-125 has a 50 to 75percent chance of missing ovarian cancer at early stages," he said. He wanted me to see thesurgeon immediately to check my ovaries.

　　但这并非全部结果，医生接着说：“部分炎症指标有些升高，综合考虑，这可能是癌症早期的征兆。”我顿了一下，他说“癌症早期，仅检测CA-125有50%到75%的概率是不能发现卵巢癌的”。他还是建议我立刻去外科检查卵巢。

　　I went through what I imagine thousands of other women have felt. I told myself to stay calm, tobe strong, and that I had no reason to think I wouldn’t live to see my children grow up and tomeet my grandchildren.

　　我顿时想到成千上万的女性们(在接到诊断通知书时)心中的感受。我告诉自己要保持冷静和坚强，因为我必须活下去，看着我的孩子们长大，活着看见我的孙子孙女们出生。