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Prostate Cancer Treatment Options

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New Jersey CyberKnife presents the various options for treating prostate cancer.

New Jersey CyberKnife presents the various options for treating prostate cancer.

Published in: Health & Medicine

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  • 1. PROSTATE  CANCER   ì  TREATMENT  OPTIONS   99  Route  37  West  Toms  River,  NJ  08755    (732)  557-­‐3120            www.newjerseyck.com  
  • 2. 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  
  • 3. 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  
  • 4. 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  
  • 5. 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  
  • 6. 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  
  • 7. 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  
  • 8. 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  
  • 9. 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  
  • 10. 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  
  • 11. 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  
  • 12. 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  
  • 13. 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