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Stages of Prostate Cancer
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Stages of Prostate Cancer



Oklahoma CyberKnife presents an overview of prostate cancer, its different stages and possible treatment options.

Oklahoma CyberKnife presents an overview of prostate cancer, its different stages and possible treatment options.



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Stages of Prostate Cancer Stages of Prostate Cancer Presentation Transcript

  • STAGES OF PROSTATE CANCER6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676www.oklahomack.com
  • A  prostate  cancer  diagnosis  can  be  scary.    Learn  more  about  prostate  cancer  and  how  we  can  help.    Please  note:  The  informa1on  presented  here  is  not  all-­‐inclusive.  Rather,  it  represents  a  star1ng  point  to  learn  more  about  medical  condi1ons  and  treatment  op1ons.  There  is  no  subs,tute  for  consul,ng  a  medical  professional.  6802  South  Olympia  Ave  Suite  G100,  Tulsa,  OK  74132    (918)  949-­‐6676    www.oklahomack.com  
  • Prostate Cancer OverviewPossible Signs of Prostate Cancer:Weak or interrupted flow of urineFrequent urinationTrouble urinatingPain or burning during urinationBlood in the urine or semenPersistent pain in the back, hips, or pelvisPainful ejaculation¨  The prostate is awalnut-sized glandlocated in a man’slower abdomen thatcontrols the flow ofurine and semen.¨  Prostate cancer is aleading cause ofcancer death amongAmerican men, secondonly to lung cancer.6802  South  Olympia  Ave  Suite  G100,  Tulsa,  OK  74132    (918)  949-­‐6676    www.oklahomack.com  
  • Diagnosing Prostate CancerProstate Cancer can be diagnosed by:¨  Digital Rectal Exam (DRE) – examination ofthe rectum.¨  Prostate-specific antigen (PSA) test –measures the level of PSA in the blood. PSAmay be found in an increased amount in theblood of men with prostate cancer.¨  Transrectal Ultrasound – provides a picture ofthe prostate for the doctor to analyze.¨  Gleason Score – determines how likelyprostate cancer is to spread.6802  South  Olympia  Ave  Suite  G100,  Tulsa,  OK  74132    (918)  949-­‐6676    www.oklahomack.com  
  • The TNM Staging SystemA staging system describes how far a cancer has spread.The most widely used staging system for prostate cancer isthe American Joint Committee on Cancer (AJCC) TNMsystem.The TNM system for prostate cancer is based on 5 keypieces of information:¤  The extent of the primary tumor (T category)¤  Whether the cancer has spread to nearby lymph nodes (Ncategory)¤  The absence or presence of distant metastasis (M category)¤  The PSA level at the time of diagnosis¤  The Gleason Score, based on the prostate biopsy (or surgery)6802  South  Olympia  Ave  Suite  G100,  Tulsa,  OK  74132    (918)  949-­‐6676    www.oklahomack.com  
  • Prostate Cancer - Stage I6802  South  Olympia  Ave  Suite  G100,  Tulsa,  OK  74132    (918)  949-­‐6676    www.oklahomack.com  ¨  Cancer is found in the prostate only.¨  Cancer is microscopic and cannot be felt during theDRE or seen on imaging tests.¨  Cancer is found in one-half or less of one lobe ofthe prostate.¨  PSA level is lower than 10 ng/mL.¨  Gleason Score is 6 or lower.
  • Prostate Cancer - Stage IIA6802  South  Olympia  Ave  Suite  G100,  Tulsa,  OK  74132    (918)  949-­‐6676    www.oklahomack.com  ¨  Cancer is more advanced thanStage I but has not spread outsidethe prostate.¨  The cells are usually moreabnormal and may tend to growmore quickly.¨  Cancer is found in more than halfof one lobe of the prostate.¨  PSA level is lower than 20 ng/mL.¨  Gleason Score is 7 or lower.
  • Prostate Cancer - Stage IIB6802  South  Olympia  Ave  Suite  G100,  Tulsa,  OK  74132    (918)  949-­‐6676    www.oklahomack.com  ¨  Cancer is found in opposite sides of the prostate.¨  Cancer cannot be felt during a DRE and is notvisible by imaging.¨  The tumor has not spread outside the prostate.¨  PSA level is 20 ng/mL or higher.¨  Gleason Score ranges from 2 to 10.
  • Prostate Cancer - Stage III6802  South  Olympia  Ave  Suite  G100,  Tulsa,  OK  74132    (918)  949-­‐6676    www.oklahomack.com  ¨  Cancer has spread beyond theouter layer of the prostate.¨  Cancer may have spread tonearby tissues like the seminalvesicles.¨  PSA can be any level.¨  Gleason Score can range from2 to 10.
  • Prostate Cancer - Stage IV6802  South  Olympia  Ave  Suite  G100,  Tulsa,  OK  74132    (918)  949-­‐6676    www.oklahomack.com  ¨  Cancer has spread(metastasized) beyond theseminal vesicles to nearbytissues or organs such asthe rectum, bladder orpelvic wall.¨  Cancer has spread todistant parts of the body,which may include otherlymph nodes or bones.Prostate cancer oftenspreads to the bones.¨  Cancer has spread tonearby lymph nodes¨  PSA can be any level.¨  Gleason score can rangefrom 2 to 10.
  • Prostate Cancer TreatmentTreatment OptionsActive SurveillanceSurgeryExternal-Beam Radiation TherapyBrachytherapyProton TherapyStereotactic Body Radiation Therapy¨  Treatment options depend on:¤  The stage of the cancer¤  The patient’s age and health¤  The patient’s Gleason Score¤  Whether the cancer is recentlydiagnosed or recurring¤  The patient’s prostate-specificantigen (PSA) levels6802  South  Olympia  Ave  Suite  G100,  Tulsa,  OK  74132    (918)  949-­‐6676    www.oklahomack.com  
  • CyberKnife® Treatment Process6802  South  Olympia  Ave  Suite  G100,  Tulsa,  OK  74132    (918)  949-­‐6676    www.oklahomack.com  ¨  Prior to stereotactic body radiation therapy with CyberKnife, smalltissue markers known as fiducials are implanted in the prostate tohelp pinpoint the tumor location throughout each treatment.¨  About a week later, patients are fitted with a custom body mold ofsoft material that they lie on during treatments. The fitting process ispainless.¨  This treatment processincludes¤  Consultation appointment¤  Pretreatment procedures¤  CyberKnife treatment¤  Follow-up
  • Additional Resources6802  South  Olympia  Ave  Suite  G100,  Tulsa,  OK  74132    (918)  949-­‐6676    www.oklahomack.com  
  • Our CenterOpened in 2008, Oklahoma CyberKnife is widely known as a leadingprovider of stereotactic radiosurgery. Oklahoma CyberKnife is service ofHillcrest Medical Center.If you or a loved one is diagnosed with prostate cancer, contact OklahomaCyberKnife to schedule a consultation with our physicians to determine the bestnext step for your treatment needs.Medical Director: Dr. Diane HeatonRadiation Oncologist: Dr. Joshua Garren6802  South  Olympia  Ave  Suite  G100,  Tulsa,  OK  74132    (918)  949-­‐6676    www.oklahomack.com  Connect  With  Us