Liver Cancer: CyberKnife Treatment Overview
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Liver Cancer: CyberKnife Treatment Overview

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Opened in 2011, New Jersey CyberKnife at the J. Phillip Citta Regional Cancer Center is active in clinical research and combines experienced physicians with the latest medical advances. About 21,000 ...

Opened in 2011, New Jersey CyberKnife at the J. Phillip Citta Regional Cancer Center is active in clinical research and combines experienced physicians with the latest medical advances. About 21,000 Americans are diagnosed with primary liver cancer each year and it is twice as common in men than in women. If you or a loved one is diagnosed with liver cancer, contact New Jersey CyberKnife to schedule a consultation with our physicians to determine the best next step for your treatment needs.

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Liver Cancer: CyberKnife Treatment Overview Liver Cancer: CyberKnife Treatment Overview Presentation Transcript

  • 99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com
  • A  liver  cancer  diagnosis  can  be  scary.     Learn  more  about  liver  cancer  and  how  we  can  help.     Please  note:  We  encourage  consumers  to  thoroughly  review  and  understand  all  treatment  op8ons.   The  informa8on  presented  here  is  not  all-­‐inclusive.  Rather,  it  represents  a  star8ng  point  to  learn   more  about  medical  condi8ons  and  treatment  op8ons.  There  is  no  subs,tute  for  consul,ng  a   medical  professional.   99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com
  • 99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com
  • About  Liver  Cancer   The  liver  is  the  largest  internal  organ.  It  lies  under  your  right   ribs  just  beneath  your  right  lung.  It  is  shaped  like  a  pyramid  and   divided  into  right  and  le9  lobes  which  are  further  divided  into   segments.       The  liver  gets  blood  from  the  hepa=c  artery  and  the  portal  vein   and  is  made  up  of  mainly  hepatocyte  cells.  The  different  types   of  cells  in  the  liver  can  for  several  types  of  malignant  and   benign  tumors.      About  21,000  Americans  are  diagnosed  with  primary  liver   cancer  each  year  and  is  twice  as  common  in  men  than  in   women.       99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com
  • Types  of  Liver  Cancer   A  cancer  that  starts  in  the  liver  is  called  primary  liver  cancer.  Here  are  the  types  of   primary  liver  cancer:     •  Hepatocellular  carcinoma  (hepatocellular  cancer)   •  Intrahepa=c  cholangiocarcinoma  (bile  duct  cancer)   •  Angiosarcoma  and  hemangiosarcoma       •  Hepatoblastoma       For  more  informa=on  on  the  types  of  primary  liver  cancer,  as  well  as  informa=on  on   secondary  liver  cancer,  click  here.   99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com
  • Risk  Factors  of  Liver  Cancer   There  is  no  single  cause  of  liver  cancer,  though  there  are  several  known  risk   factors:     •  Gender  –  Seen  more  o9en  in  men.   •  Age  –  Risks  generally  increase  for  older  men.   •  Race  –  Asian  Americans  and  Pacific  Islanders  have  a  higher  risk  for  unknown   reasons  followed  by  American  Indians/Alaska  Na=ves  and  Hispanic/La=nos,   African  Americans  and  whites.     •  NaAonality  –  much  more  common  in  countries  in  sub-­‐Saharan  Africa  and   Southeast  Asia   99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com
  • Risk  Factors  of  Liver  Cancer   •  Cirrhosis     •  Chronic  viral  hepaAAs   •  Heavy  alcohol  use     •  Obesity     •  Type  2  diabetes   •  Inherited  metabolic  diseases   •  Alfatoxins     •  Arsenic     •  InfecAon  with  parasites   For  full  descrip=ons  of  these  risk  factors,  click  here.   99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com
  • What  are  symptoms  of  liver  cancer?   •  Signs  and  symptoms  of  liver  cancer  o9en  do  not  show  up  un=l  the  later  stages  of  the  disease.   •  Most  common  symptoms  are:   •  Weight  loss  (without  trying)   •  Loss  of  appe=te   •  Feeling  very  full  a9er  a  small  meal   •  Nausea  or  vomi=ng   •  An  enlarged  liver,  felt  as  a  mass  under  ribs  on  the  right  side   •  An  enlarged  spleen,  felt  as  a  mass  under  the  ribs  on  the  le9  side   •  Pain  in  the  abdomen  or  near  the  right  shoulder  blade   •  Swelling  or  fluid  build-­‐up  in  the  abdomen   •  Itching   •  Yellowing  of  the  skin  and  eyes  (jaundice)   •  Chronic  hepa==s  or  cirrhosis  are  also  common  causes  which  may  cause  the  person  to  feel  worse  than   usual  or  have  a  change  in  lab  results.     99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com
  • 99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com
  • How  does  CyberKnife  treat  liver  cancer?   Prior  to  stereotac=c  body  radiosurgery  treatment  with  CyberKnife,  small   =ssue  markers  known  as  fiducials  are  implanted  in  the  liver  to  help  the   CyberKnife  pinpoint  the  tumor  loca=on  throughout  each  treatment,  so  the   radia=on  beams  can  be  locked  on  the  tumor.       About  a  week  later,  pa=ents  are  fiXed  with  a  custom  body  mold  of  so9   material  that  they  lie  on  during  treatments.  The  fiYng  process  is  painless.     The  treatment  process  includes:   I.  Consulta=on  appointment   II.  Pretreatment  procedures   III.  CyberKnife  treatment   IV.  Follow-­‐up   99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com
  • ConsultaAon  and  Pretreatment  Procedures   New  Jersey  CyberKnife  physicians,  therapists  and  nurses  are   focused  on  your  individualized  treatment  plan:     •  You  will  meet  a  New  Jersey  CyberKnife  radia=on   oncologist  to  decide  if  CyberKnife  treatment  is   appropriate  for  your  diagnosis.       •  Your  CyberKnife  team  will  decide  which  pretreatment   procedures  you  may  need  to  help  develop  your   treatment  plan.  These  could  include  a  CT  scan,  an  MRI,   laboratory  studies  or  =ssue  markers.       •  The  data  from  your  pretreatment  procedures  will  be   used  by  the  CyberKnife  team  to  determine  the  exact  size,   shape  and  loca=on  of  your  tumor.   •    This  informa=on  will  indicate  the  size  of  the  area  being   treated  with  radia=on,  the  radia=on  dose  and  cri=cal   structures  where  radia=on  exposure  should  be   minimized.   99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com
  • CyberKnife  Treatment   Typically  treatment  is  completed  within  five  sessions.   On  the  day  of  your  treatment:       1.  A  therapist  will  help  you  onto  the  treatment  table   and  fit  the  body  mold.  Pa=ents  are  observed   throughout  the  treatment  on  closed-­‐circuit   television,  and  they  can  pause  treatment  at  any   =me  by  waving  or  speaking  to  the  technicians.   2.  3.  While  the  CyberKnife’s  advanced  tracking  system   accounts  for  movements  like  breathing,  you’re   asked  to  lie  s=ll  during  treatments.  The  system   periodically  takes  x-­‐ray  images  and  compares  them   to  the  CT  scan  data  to  make  sure  the  radia=on   beam  is  locked  on  the  tumor.   Pa=ents  can  usually  return  to  their  normal  rou=nes   once  the  treatment  is  complete.   99 Route 37, West Toms River, NJ 08755 FOR  YOUR  INFORMATION   •  Treatment  procedures  take  about  30  –  90   minutes,  depending  on  the  complexity  of  your   tumor.   •  Pa=ents  are  asked  to  wear  comfortable  clothing   during  CyberKnife  treatments.  Jewelry  is   acceptable  unless  it  is  close  to  the  area  being   treated.   •  Feel  free  to  bring  an  iPod®  or  your  favorite   music  CDs  with  you  on  the  day  of  your   treatment,  and  we  will  play  them  for  you  during   the  procedure.   (732) 557-3120 www.newjerseyck.com
  • AddiAonal  Resources   99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com
  • Our  Center   Opened  in  2011,  New  Jersey  CyberKnife  at  the  J.  Phillip  CiXa  Regional  Cancer  Center  is  ac=ve  in  clinical  research  and  combines   experienced  physicians  with  the  latest  medical  advances.  Our  state-­‐of-­‐the-­‐art  technology  offers  hope  to  pa=ents  in  New  Jersey  and   beyond.  Medical  Director  Dr.  David  D’Ambrosio  specialized  in  advanced  radia=on  therapies  and  his  exper=se  includes  intensity-­‐ modulated  and  stereotac=c  radia=on  therapies,  including  CyberKnife  radiosurgery.Our  center  provides  the  only  CyberKnife   technology  in  Ocean  County  New  Jersey.     If  you  or  a  loved  one  is  diagnosed  with  liver  cancer,  contact  New  Jersey  CyberKnife  to  schedule  a  consulta=on  with  our  physicians   to  determine  the  best  next  step  for  your  treatment  needs.     Medical  Director:  Dr.  David  D’Ambrosio     Chairman  of  RadiaAon  Oncology  at  Community  Medical   Center:  Dr.  Rajesh  Iyer     CyberKnife  Nurse:  Debbie  Moriarty,  RN,  MSN,  OCN       Connect  with  us       99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com