Around Town
Summer Guide 2015 - Seven Presidents Oceanfront Park
Count Basie Theatre Announces Board Members
Voyagers Community School Welcomes Dr. Nel Noddings
Ask The Experts
Ask The Expert - Staci J. Greenwald, Esq.
Ask The Expert - Brock Farms
Ask The Expert - Kathleen Nolan of Family Focus Financial Group
Bay Wellness
Bay Wellness - How Can An Ultrasound Help?
Bay Wellness - Welcome to our newest issue
Bay Wellness - Physician Focus: Steven R. Berkman
Best Bets
The Guide 2014 - Trek Bicycle Store of Middletown
Best Bet - Lotus Health And Wellness Spa
The Guide 2015 - Allure Plastic Surgery Center
Black Book
Cover Story
First Lady of Holmdel, Mayor Serena DiMaso
Racing Royalty - Joe Bongiorno
Chef Dominick Tesoriero
Daytripper
Day Tripper - The Amish Experience
Medieval Times
Day Tripper - Mountain Creek Resort
Eats
Eats: Tuscany Italian Specialty Food
Eat Beat - Annas Italian Kitchen
Eats: Red
Etc
Etc - Turkey Day
Etc - Tired, Busy, Distracted, and Resigned
Etc - The Endless Summer
Fall Guide
Fall Guide 2015 - Gravity Vault
Fall Guide - Pumpkins, Hayrides, & Orchards
Fall Guide - Kids Party Entertainment
Featured Artist
Featured Artist - Carol Bruno
Featured Artist - Perry Balog
Featured Artist - Dorothy Kaplan
Gift Guide
Gift Guide - Jersey Shore Arena
The Guide 2015 - Two River Theater Company
Gift Guide - Old World Organics
Health Talk
Health Talk - Dr. Thomas J. Kayal
Health Talk - GENESIS Fertility and Reproductive Medicine
Health - Raritan Bay Medical Center
Health, Wellness & Beauty
Health - Skyn
Health - Bonavita Laser Centers
Health 2014 - Great Care, Close to Home
Holiday Buzz 2015
Macy's Thanksgiving Day Parade
Dining Out For The Holidays
A Hanukkah Story
Homes
The Perfect Nest - LaCorte
A Grand Home For Entertaining
Life with an OCEAN VIEW
Letter
Spring has Sprung!
Warm Winter Wishes
Letter to Colts Neck: Falling Into Good Times
Living in Colts Neck
Home at Last
Gratitude in Guatemala
All The Pretty Horses
Newsletter Articles
Staten Island Fun Facts
The Home - JGS Insurance
Our Pick - Vein Institute of NJ
Our Picks
Company Profile - Saint Peters National Gianna Center for Womens Health & Fertility
THE NEW BENTLEY SUV
Our Pick - White Sands
People On The Move
People On The Move - Tom and Hedy Valledolmo
Kids On The Move - Spencer Krug
People On The Move: Mary Weir
Summer Guide
Summer Guide 2015 - Seven Presidents Oceanfront Park
Summer Guide - The Beach is Back
Summer Guide 2014 - Our Jersey Shore
The Bay
The Bay - National Stroke Awareness Month
The Bay - $1 Million Emergency Department Expansion Opens
The Bay - Welcome to the Premiere
The Guide
Company Profile - Rejuvenate Center for Medical Aesthetics
The Guide 2014 - Tom Rostron Co. Inc.
The Guide 2015 - World Jeep
The Home Guide
The Home Guide - Four Seasons Sunrooms
The Home Guide - Top Line Appliance Center
The Home Guide - Central Jersey Pools
Weigh In
Weigh In - What famous person would you invite to your holiday table?
Weigh In: What Did You Get I Trouble For...
Weigh In Marlboro: Whats Your Inner Animal?

Health Talk - Lori S. Gormley, M.D.
07/03/2012

Health Talk - Lori S. Gormley, M.D.

Lori S. Gormley, M.D.
HerSpace
Breast Imaging & Biopsy Associates
187 Rte. 36, MPCCI (Bldg A, Ste. 130)
W. Long Branch, NJ 07764
(732) 571-9100
www.herspacebreast.com

Ive heard recently mammograms for women 40 to 50 years old are harder to read and that they should only have  mammograms every two years.

In general, younger women have denser breasts, which can hide a cancer more easily. However, cancers also tend to  grow more quickly in younger women, making yearly screening even more important in that age group. Breast cancer in  women in their 40s accounts for 25% of all breast cancers diagnosed and over 50% of years of life lost to breast cancer.

What is meant by breast density?

Density is determined by the relative amounts of breast tissue (white on the mammogram) versus fatty tissue (black on  a mammogram) which together compose the entire breast. This is important because cancer also shows up white on a  mammogram. If you have a fatty breast, cancers show up more easily on your mammogram; while if your breasts are  dense, a small cancer is more easily hidden by the breast tissue. Breasts are variable in their density, ranging from almost  entirely fatty to extremely dense. If a breast is fatty, mammography is very sensitive and can easily pick up very small tumors. Mammography may detect only 6 of every ten breast cancers in women with dense breasts.

How does someone know what their breast density is, and is there anything they can do to influence the density of  breasts so mammograms are easier to read?

A womans breast density is primarily an inherited trait over which you have no control. Breast density changes over a  womans lifetime, with a trend towards more fat instead of dense tissue as we age. This varies from person to person,  and is mainly influenced by hormonal changes. During pregnancy and lactation, breast density increases dramatically,  while after decades of estrogen depletion during menopause there may be a gradual change towards more fatty breasts.  Breast density is not dictated by breast size, shape or structure, and is not related to a persons weight. Breast density  should be included in every mammogram report.

Are there other ways to detect breast cancer early in women who have dense breasts?

There are several other ways now available to help detect early breast cancer in women with dense breasts, and many  more are in the process of being developed. Screening Breast Ultrasound is becoming more widely available, and is very  exciting. It does not use radiation, is a relatively quick exam and considerably less expensive than other options. Breast  MRI is very sensitive in detecting small breast cancers. Unfortunately, Breast MRI is sometimes too sensitive, and  false positive studies can result in unnecessary biopsies and a lot of anxiety on the part of the patient, and is therefore used primarily for screening high risk women. Breast Specific Gamma Imaging is a fairly new modality in breast  imaging. It uses radiopharmaceuticals to evaluate the energy consumption of the breast cells. Digital  tomomammography is the next step in digital mammography. Instead of generating a picture of the breast which is a  composite of all the tissue superimposed on one 2-dimensional image, tomomammography allows generation of 1mm  thick slices of the breast, which alleviates the big problem of surrounding dense glandular tissue obscuring cancers.  Positron Emission Mammography or PEM is a dedicated PET study for the breast and uses the higher glucose  metabolism of cancer cells as a way of imaging cancer.

What are the major risk factors for breast cancer?

A family history of breast cancer in any first or second degree relative, from either the maternal or paternal side,  especially if the cancer was present before menopause. Other important factors to be aware of are a family history of  ovarian cancer, a personal history of atypical lesion on breast biopsy or Ashkenazi heritage. Low level risk factors  include early menarche, late menopause, nulliparity and long term hormone replacement therapy in postmenopausal women.



Dr. Lori Gormley, one of the foremost board certified Breast Radiologists in the State of New Jersey, recently joined Dr. Beth Deutch at HerSpace in West Long Branch. She has, since 1988, been at the forefront of Women's Imaging, having worked in both hospital-based and outpatient environments. She has lectured and published on numerous topics including  digital mammography, breast biopsy, and numerous patient oriented education programs. She graduated Magna Cum Laude with a BA in Chemistry from Barnard College at Columbia University and received her medical degree from the University of Chicago (Pritzker School of Medicine), where she was awarded both the American Medical Women's Citation for Academic Achievement, and membership into the Alpha Omega Alpha Honor Society.

Dr. Gormley completed both her Diagnostic Radiology Residency and specialty Fellowship at the University of California, Los Angeles at the prestigious UCLA Medical Center. Her combined Mammography/Ultrasound Fellowship was the first ever  offered in the United States.









Powered by eDirectory™