Around Town
Resources Real Estate announces their Award-winning Sales Agents
Eagle Oaks Country Club Hosts 8th Annual Honor Day
5th Annual Cardboard Box City Raises More Than $14,000
Ask The Experts
Ask The Experts: Dr. Manolis G. Manolakakis
Company Profile - Shrewsbury Vascular & General Surgery Associates
Ask The Expert - John Coscia of AJC Advisors
Bay Wellness
Bay Wellness - Health After Menopause
Bay Wellness - Don't Forget
Bay Wellness - How Can An Ultrasound Help?
Best Bets
Best Bet - Ashford & Grace Fine Jewelers
The Guide 2015 - Liberty Homes of Staten Island, Inc.
The Guide 2015 - Circle Infiniti
Black Book
Cover Story
A First for Everything - Kim Guadagno
Brittany Eyres - On the Track to Success
John Green - ABC News Award-Winning Producer
Daytripper
Day Tripper - Solomon R. Guggenheim Museum
Daytripper:The New York Aquarium
Day Tripper - Koziars Christmas Village
Eats
Eat Beat - Osteria Cucina Rustica
Eats: Sam Vera
Eat Beat - Zio Toto Ristorante
Etc
Etc - The Endless Summer
Etc - School Daze
Etc - Walking through Monmouth County
Fall Guide
Fall Guide - Kids Activity
Fall Guide - Kids Fashions
Weigh In - Which Halloween mask wins the creepy award?
Featured Artist
Featured Artist - Elyissia Chinchilla
Featured Artist - Carol Bruno
Featured Artist - Franco Minervini
Gift Guide
Best Bet - Home Theatre Connection
The Guide 2015 - World Jeep
Gift Guide - Underground Gym
Health Talk
Health Blog - Atlantic Laser Vision Center
Company Profile - Vascular & Interventional Specialists, PC
Company Profile - New Relfections Plastic Surgery
Health, Wellness & Beauty
Health 2015 - Bariatrics
HWB 2016 - Allure Plastic Surgery Center
Health - Advanced Vascular Solutions
Holiday Buzz 2015
Chanukah Traditions In Transition
Dining Out For The Holidays
Restaurant Guide - Osteria Cucina Rustica
Homes
Traditions - Monteforte
Feels Like Home
Following the Natural Progression - The Edelman Family
Letter
Letter to Colts Neck: Falling Into Good Times
Warm Winter Wishes
Spring has Sprung!
Living in Colts Neck
Writing a Legacy with Superintendent Dick Fitzpatrick
Feels Like Home
Muriel Rogers - Local Artist
Newsletter Articles
The Home Gallery - Instone
Home Staging
Practical Design: Decorating On A Budget
Our Picks
Company Profile - Ballew Jewelers
Our Pick - DeMarcos Catering & Gourmet Deli
Our Pick - Valina Salon & Day Spa
People On The Move
People On The Move - Kelly Pretz
People On The Move - Matthew Craw
People on the Move: Michael Chirico
Summer Guide
Where Heritage Meets The Sea
Weigh In - What Annoys You Most About The Beach?
Summer Guide 2014 - Our Jersey Shore
The Bay
The Bay - National Stroke Awareness Month
The Bay - Welcome to the Premiere
The Bay - Can The Weight Be Over?
The Guide
Company Profile - Air Doctors
The Guide 2014 - Marlboro Village Pharmacy
The Guide 2015 - Dr. Abraham Biegeleisen
The Home Guide
The Home Guide - Adjusters NJ
The Home - JGS Insurance
The Home - Ace Home Improvements
Weigh In
Weigh In -Whats your favorite night-spot in Monmouth County?
Weigh In: If Hollywood came knocking...
Weigh In - Which Halloween mask wins the creepy award?

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™