PROSTATE CANCER ì TREATMENT OPTIONS 99 Route 37 West Toms River, NJ 08755 (732) 557-‐3120 www.newjerseyck.com
PROSTATE CANCER OVERVIEW ì The prostate is located in a man’s lower abdomen and controls the ﬂow of urine and semen. ì Second only to lung cancer, prostate cancer is the leading cause of cancer death among American men. ì According to the American Cancer Society, an esEmated 238,590 cases of prostate cancer will occur in the U.S. during 2013. 99 Route 37 West Toms River, NJ 08755 (732) 557-‐3120 www.newjerseyck.com
TREATING PROSTATE CANCER Prostate cancer treatments diﬀer primarily in technical nature and potenEal side eﬀects. Treatment options can depend on the following: ì The stage of the cancer ì Whether the cancer is recently diagnosed or recurring ì The patient’s age and health ì The patient’s prostate-‐speciﬁc ì The patient’s Gleason Score — antigen (PSA) levels — PSA is a This determines how likely it is substance made by the prostate that a tumor will spread that may be found in an increased amount in the blood of men who have prostate cancer 99 Route 37 West Toms River, NJ 08755 (732) 557-‐3120 www.newjerseyck.com
TREATMENT OPTIONS ì Prostate cancer treatment options include: ì Active Surveillance ì Surgery ì External-‐Beam Radiation Therapy ì Brachytherapy ì Proton Therapy ì Stereotactic Body Radiation Therapy 99 Route 37 West Toms River, NJ 08755 (732) 557-‐3120 www.newjerseyck.com
ACTIVE SURVEILLANCE ì The concept of acEve surveillance has emerged as a viable opEon for men who decide not to undergo immediate surgery or radiaEon therapy. 99 Route 37 West Toms River, NJ 08755 (732) 557-‐3120 www.newjerseyck.com
SURGERY Radical Retropubic Prostatectomy: Surgery in which the prostate gland is removed and that may include biopsies of nearby lymph nodes; may be done robotically. ì Procedure & Recovery Time ì Procedure lasts 3 – 4 hours ì Requires general anesthesia and a three-‐ day hospital stay ì Recovery usually requires a few weeks at home ì Potential side eﬀects ì Urinary incontinence ì Erectile dysfunction 99 Route 37 West Toms River, NJ 08755 (732) 557-‐3120 www.newjerseyck.com
EXTERNAL-‐BEAM RADIATION THERAPY Intensity Modulated Radiation Therapy or IMRT: IMRT targets radiation beams to the location of the patient’s tumor. ì Procedure & Recovery Time ì Approximately 40 daily radiaEon treatments over a period of seven to eight weeks ì Treatment takes approximately 15 minutes ì Outpatient procedure that allows most patients to return to their normal routine ì Potential side eﬀects ì Temporary rectal and urinary irritation ì Erectile dysfunction ì Lacks the ability to correct for movement of the prostate during treatment, resulting in possible damage to healthy tissue surrounding the prostate 99 Route 37 West Toms River, NJ 08755 (732) 557-‐3120 www.newjerseyck.com
BRACHYTHERAPY Brachytherapy: Small radioactive seeds are implanted within the prostate gland and give oﬀ radiation to the immediate surrounding area over the course of several months. After a year, the radioactive material degrades, and the seeds that remain are harmless. ì Procedure & Recovery Time ì One-‐Eme procedure that requires paEents to remain in the hospital for several hours ì PaEents are usually allowed to return home on the same day ì Potential side eﬀects ì Erectile dysfunction ì Urinary irritation, frequency and obstruction ì Rectal injury 99 Route 37 West Toms River, NJ 08755 (732) 557-‐3120 www.newjerseyck.com
PROTON THERAPY Proton Therapy: Noninvasive treatment that uses a particle accelerator to deliver a focused ray of proton particles that destroy cancer cells. ì Procedure & Recovery Time ì Treatment is usually delivered ﬁve days a week for approximately eight weeks ì PaEents are usually able to return to their normal rouEne aVer treatment ì Potential side eﬀects ì Rectal and urinary irritation 99 Route 37 West Toms River, NJ 08755 (732) 557-‐3120 www.newjerseyck.com
STEREOTACTIC BODY RADIATION THERAPY Stereotactic Body Radiation Therapy: Noninvasive procedure that delivers targeted radiation beams to the prostate without incision or sedation using CyberKnife® technology. ì Procedure & Recovery Time ì Five or fewer outpaEent sessions over the course of one to two weeks ì Treatment procedures take about 30-‐90 minutes ì PaEents are usually able to return to their normal rouEne aVer treatment ì Recovery is often immediate ì Potential side eﬀects ì Rectal and urinary irritation 99 Route 37 West Toms River, NJ 08755 (732) 557-‐3120 www.newjerseyck.com
CYBERKNIFE TREATMENT PROCESS Prior to stereotactic body radiosurgery treatment with CyberKnife, small tissue markers known as ﬁducials are implanted in the prostate to help the CyberKnife pinpoint the tumor location throughout each treatment, so the radiation beams can be locked on the tumor. About a week later, patients are ﬁtted with a custom body mold of soft material that they lie on during treatments. The ﬁtting process is painless. The treatment process includes: ì Consultation appointment ì Pretreatment procedures ì CyberKnife treatment ì Follow-‐up 99 Route 37 West Toms River, NJ 08755 (732) 557-‐3120 www.newjerseyck.com
NEW JERSEY CYBERKNIFE TESTIMONIAL “Convenience was extremely important to me. CyberKnife treatment took ﬁve sessions versus the 35 to 45 sessions I would have needed with other opEons. I travel for work and there’s no way I could be in the middle of treatment and go away for a week, come back and resume with the level of faEgue I’ve heard people can have with other treatments. When I looked into CyberKnife, I saw the accuracy and number of treatments, and when I found out the side eﬀects were so minimal, I thought it was the only way to go. The New Jersey CyberKnife team was phenomenal. They were so courteous and its almost like checking into a hotel every day. I wouldn’t have chosen anything else.” -‐ Gene G., New Jersey CyberKnife PaEent
OUR CENTER Opened in 2011, New Jersey CyberKnife at the J. Phillip Citta Regional Cancer Center is active in clinical research. Our state-‐of-‐the-‐art technology oﬀers hope to patients in New Jersey and beyond. New Jersey CyberKnife opened aclinical trialsin collaboration with the University of Pittsburgh to evaluate stereotactic body radiation therapy for low, intermediate and high-‐risk prostate cancer patients. Results from the trial will add to the body of clinical research examining stereotactic body radiation therapy for prostate cancer and will help doctors analyze eﬀects and outcomes to improve prostate treatment protocols. Medical Director Dr. David D’Ambrosio has also published several peer-‐reviewed research papers on prostate cancer. Our center provides the only CyberKnife technology in Ocean County, New Jersey. Medical Director: Dr. David Ambrosio Chairman of Radiation 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
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