Around Town
5th Annual Cardboard Box City Raises More Than $14,000
Twin Brook Golf Center
Summer Guide 2014 - Out & About
Ask The Experts
Ask The Expert - Beth Thomas-Edwards
Ask The Experts: Dr. John M. Young
Ask The Expert - David Finkel
Bay Wellness
Bay Wellness - Making Weight Loss a Family Affair
Bay Wellness - Don't Forget
Bay Wellness - Welcome to our newest issue
Best Bets
The Guide 2015 - DeMarco’s Catering & Gourmet Deli
Best Bet - Casale Jewelers
Best Bet - General Plumbing Supply
Black Book
Cover Story
Writing a Legacy with Superintendent Dick Fitzpatrick
Passion for Pop - Joe Petruccio
First Lady of Holmdel, Mayor Serena DiMaso
Daytripper
Day Tripper - American Museum of Natural History
Day Tripper - Momouth Park
Day Tripper - Snug Harbor
Eats
Eats: Branches Catering
Monmouth EatBeat - TAPEO
Eats: TEAK Restaurant
Etc
Etc - School Daze
Etc - The Facebook Situation
Etc - Turkey Day
Fall Guide
Fall Guide 2014 - Activities
National September 11 Memorial & Museum
Fall Guide - Art of Wine
Featured Artist
Featured Artist - The Yevchaks
Featured Artist - John Kelly
Featured Artist - Leah Passafiume
Gift Guide
The Guide 2014 - Turning Point
Gift Guide - All-County Dermatology
The Guide 2015 - Leather & Fur Ranch
Health Talk
Health Talk - db Orthopedic Physical Therapy
Health Talk - Ayotunde Adeyeri, M.D.
Health Talk - Mark Song, M.D.
Health, Wellness & Beauty
Health Talk - Maria Nadelstumph - Brandywine Senior Living at Wall
Joslin Diabetes Center
Health - Avatar Spa
Holiday Buzz 2014
Bright Lights & Holiday Magic
Best Bet - David Burke’s Fromagerie
Dining Out For The Holidays
Homes
Turn-Key Comfort For The Canaricks
Award-Winning Country Estate
Victorian Splendor - Eaton
Letter
Letter to Colts Neck: Falling Into Good Times
Spring has Sprung!
Warm Winter Wishes
Living in Colts Neck
Gratitude in Guatemala
Muriel Rogers - Local Artist
The Triple Crown
Newsletter Articles
The Home Spotlight - Select Technology Group
Holiday Fun in the City: NYC & PHL
What Finishes a Room?
Our Picks
Our Pick - Ray Catena of Edison
Our Pick - Monmouth County School of Rock
Colts Neck Yoga
People On The Move
People On The Move: Peggy Gamza
People On The Move - Mitchell Remig
People On The Move - Cheryl Parker
Summer Guide
Where Heritage Meets The Sea
Weigh In - What Annoys You Most About The Beach?
Summer Guide 2015 - Seven Presidents Oceanfront Park
The Bay
The Bay - Welcome to the Premiere
The Bay - Healthier Heart
The Bay - $1 Million Emergency Department Expansion Opens
The Guide
Company Profile - Advanced Surgical Healthcare Associates
Company Profile - Lotus Health & Wellness Spa
The Guide 2014 - ClockWorks Development Group
The Home Guide
The Home Guide - Oasis Backyard Farms
The Home Guide - Troost Bros., Inc.
The Home Guide - Ace Aluminum
Weigh In
Weigh In - What's Your Favorite Pizza Place in Monmouth County?
Weigh In Marlboro: Trendy Accessory or Necessary Evil?
Weigh In - What Annoys You Most About The Beach?

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™