Around Town
Meridian Weightless
Fall Guide 2014 - The Art of Wine
12th Annual AMI Foundation Golf Classic
Ask The Experts
Ask The Expert: Asaad H. Samra, M.D.
Ask The Experts - Premier Pain Centers
Ask The Expert - db Orthopedic Physical Therapy, PC
Bay Wellness
Bay Wellness - How Can An Ultrasound Help?
Bay Wellness - Welcome to our newest issue
Bay Wellness - Don't Forget
Best Bets
Best Bet - Atlantic Architectural Millwork
The Guide 2014 - Orrico Realty
Best Bet - Turning Point of Holmdel
Black Book
Cover Story
Mike Scotti - From the Front Line to the Screen
The Q Factor - Quincy Mumford
George Joynson: History Detective
Daytripper
Day Tripper - Momouth Park
Daytripper: Hunter Mountain
National September 11 Memorial & Museum
Eats
Eats: McDonagh’s Pub
Eats: Rosalia Italian Marketplace
Eats: Sam Vera
Etc
Etc - Tired, Busy, Distracted, and Resigned
ETC - Beach Bias
Etc - Walking through Monmouth County
Fall Guide
Fall Guide 2014 - Performing Arts
Fall Guide - Kids Party Entertainment
Fall Guide 2014 - Activities
Featured Artist
Featured Artist - Perry Balog
Featured Artist - Amy Puccio
Featured Artist - The Yevchaks
Gift Guide
The Guide 2013 - Sea Spa & Salon
Best Bet - NY Chiropractic & Physical Therapy
The Guide 2013 - DoubleTake Luxury Consignment Boutique
Health Talk
Health Talk - db Orthopedic Physical Therapy
Dr. Peggy Avagliano Honored
Health Talk - Dr. Anthony Lombardi
Health, Wellness & Beauty
HWB 2014 - Women's Center
Health - Marlboro Village Pharmacy
Health - ENERGY BALANCE
Homes
Full Circle - The Gamzas
A Seductive Re-Imaging - The Keeleys
Intimate Grandeur - The Fallettas
Letter
Spring has Sprung!
Letter to Colts Neck: Falling Into Good Times
Warm Winter Wishes
Living in Colts Neck
All The Pretty Horses
Montrose Schoolhouse
The Triple Crown
Newsletter Articles
Dr. Peter Staats - Physician of the Year
The Home Gallery - Richmond Tile
Eats: Red
Our Picks
Our Pick - Cruise Holidays of Marlboro
Pine Belt Nissan of Keyport
Our Pick - Voyagers' Community School
People On The Move
People On The Move - Sean Davis
People On The Move: C. Arthur Albrizio
Pam Wood - Advocate For Special Needs Children And Their Parents
Summer Guide
Weigh In - What Annoys You Most About The Beach?
Weigh In - My Favorite Jersey Beach
Where Heritage Meets The Sea
The Bay
The Bay - One Stop Women’s Health
The Bay - A Body In Motion
The Bay - Could I Have Diabetes and Not Even Know it?
The Guide
Company Profile - Air Doctors
Company Profile - Rosen Decorators
The Guide 2014 - We Got Lites
The Home Guide
The Home - Giglio Builders
The Home Guide - Colts Neck Manor House
The Home Guide - Top Line Appliance Center
Weigh In
Weigh In - What’s the one food item you would never eat?
Weigh In - Role Models
Holiday Street Beat - What’s on your list?

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™