Around Town
Bright Lights & Holiday Magic
Big Game Day Party at the Tiki Bar at Driftwood
Fall Guide 2014 - Activities
Ask The Experts
Ask The Expert - Michael Greenberg of HomeClick
Ask The Experts: Tina and Gabriel Simon BallRoom etc. Dance Studio
Ask the Experts: Vincent J Puma
Bay Wellness
Bay Wellness - Don't Forget
Bay Wellness - How Can An Ultrasound Help?
Bay Wellness - Health After Menopause
Best Bets
The Guide 2015 - Home Living Furniture
The Guide 2015 - Nino's Italian Restaurant
Best Bet - Orangetheory Fitness
Black Book
Cover Story
Nicholas Harary - The Essential Ingredients
Dana Canedy - A Gift For Jordan
Alex Asfar - Getting His Kicks
Daytripper
Day Tripper - Insectropolis
Day Tripper - The Appalachian Trail
Daytripper: Museum of Modern Art
Eats
Our Pick - Sofra Turkish Cuisine
Eat Beat - Surv Kitchen & Lounge
Staten Island EatBeat - Max’s Es-Ca
Etc
Etc - Tired, Busy, Distracted, and Resigned
Etc - The Facebook Situation
Etc - Aspirin...please.
Fall Guide
Fall Guide - Art of Wine
Fall Guide 2014 - Fall Events
Fall Guide - Kids Activity
Featured Artist
Featured Artist - José Serrano
Featured Artist - Molly Gaston Johnson
Featured Artist - John Kelly
Gift Guide
Gift Guide - Alcoeur Gardens
Best Bet - The Loft at Ariana’s Grand
2016 Guide - Piero's Restaurant & Banquet Hall
Health Talk
Health Blog - Atlantic Laser Vision Center
Health Talk - European Wax Center
Health Talk - David Lopez, M.D.
Health, Wellness & Beauty
Health - The Solace Day Spa & Salon
Company Profile - fostermd
Health - Avanti Day Resort
Holiday Buzz 2015
Best Bet - David Burke’s Fromagerie
Eat Beat - Holiday Buzz: Dining Out for the Holidays
Macy's Thanksgiving Day Parade
Homes
The Kaplans’ Home Base
Impeccable Style
Timeless Classicism - Flancbaum
Letter
Spring has Sprung!
Letter to Colts Neck: Falling Into Good Times
Warm Winter Wishes
Living in Colts Neck
Muriel Rogers - Local Artist
Home at Last
Writing a Legacy with Superintendent Dick Fitzpatrick
Newsletter Articles
The Home - Ideal Tile Gallery
Wine Academy Superstores
Lynn's Speech Therapy Center
Our Picks
Company Profile - Bayshore Community Hospital
Company Profile - The Dermatology Centers of NJ
HWB 2015 - New Reflections Plastic Surgery
People On The Move
People On The Move - Michael Patrick
People On The Move - Serena DiMaso
People On The Move - Sean Davis
Summer Guide
Summer Guide 2015 - Seven Presidents Oceanfront Park
Weigh In - My Favorite Jersey Beach
Summer Guide 2014 - Our Jersey Shore
The Bay
The Bay - $1 Million Emergency Department Expansion Opens
The Bay - One Stop Women’s Health
The Bay - A Body In Motion
The Guide
OP - Ski Barn
The Guide 2015 - Ashford & Grace Fine Jewelers
Company Profile - db Orthopedic Physical Therapy, PC
The Home Guide
The Home Guide - Colts Neck Manor House
The Home - Ace Home Improvements
The Home Guide - Energy Aide
Weigh In
Weigh In -What’s your favorite night-spot in Monmouth County?
Weigh In - What would you want people to say at your funeral?
Weigh In - What Would People Be Surprised To Know About You?

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

I’ve 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 woman’s breast density is primarily an inherited trait over which you have no control. Breast density changes over a  woman’s 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 person’s 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™