Prostate Cancer Treatment Options

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San Diego Radiosurgery presents the options for treating Prostate Cancer.

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Prostate Cancer Treatment Options

  1. 1. ì  PROSTATE  CANCER  TREATMENT  OPTIONS  555  East  Valley  Parkway,  Escondido,  CA  92025              (760)  739-­‐3835                      www.sdradiosurgery.com  
  2. 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  US  during  2013.    555  East  Valley  Parkway,  Escondido,  CA  92025              (760)  739-­‐3835                      www.sdradiosurgery.com  
  3. 3. TREATING  PROSTATE  CANCER  ì  The  stage  of  the  cancer    ì  The  patient’s  age  and  health    ì  The  patient’s  Gleason  Score  —  This  determines  how  likely  it  is  that  a  tumor  will  spread  ì  Whether  the  cancer  is  recently  diagnosed  or  recurring    ì  The    patient’s  prostate-­‐specific  antigen  (PSA)  levels  —  PSA  is  a  substance  made  by  the  prostate  that  may  be  found  in  an  increased  amount  in  the  blood  of  men  who  have  prostate  cancer  Prostate  cancer  treatments  differ  primarily  in  technical  nature  and  potenEal  side  effects.      Treatment  options  can  depend  on  the  following:  555  East  Valley  Parkway,  Escondido,  CA  92025              (760)  739-­‐3835                      www.sdradiosurgery.com  
  4. 4. TREATMENT  OPTIONS  ì  Prostate  cancer  treatment  options  include:  ì  Watchful  Waiting  ì  Surgery  ì  External-­‐Beam  Radiation  Therapy  ì  Brachytherapy    ì  Proton  Therapy  ì  Stereotactic  Body  Radiation  Therapy  555  East  Valley  Parkway,  Escondido,  CA  92025              (760)  739-­‐3835                      www.sdradiosurgery.com  
  5. 5. WATCHFUL  WAITINGì  The  concept  of  watchful  waiEng  has  emerged  as  a  viable  opEon  for  men  who  decide  not  to  undergo  immediate  surgery  or  radiaEon  therapy.    555  East  Valley  Parkway,  Escondido,  CA  92025              (760)  739-­‐3835                      www.sdradiosurgery.com  
  6. 6. SURGERY  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  Radical  Retropubic  Prostatectomy:  Surgery  in  which  the  prostate  gland  is  removed  and  that  may  include  biopsies  of  nearby  lymph  nodes.  555  East  Valley  Parkway,  Escondido,  CA  92025              (760)  739-­‐3835                      www.sdradiosurgery.com  
  7. 7. EXTERNAL-­‐BEAM  RADIATION  THERAPY  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  Intensity  Modulated  Radiation  Therapy  or  IMRT:  IMRT  targets  radiation  beams  to  the  location  of  the  patient’s  tumor.    555  East  Valley  Parkway,  Escondido,  CA  92025              (760)  739-­‐3835                      www.sdradiosurgery.com  
  8. 8. BRACHYTHERAPY  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  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.    555  East  Valley  Parkway,  Escondido,  CA  92025              (760)  739-­‐3835                      www.sdradiosurgery.com  
  9. 9. PROTON  THERAPY  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  Few  to  no  side  effects  when  compared  to  traditional  radiation  therapy  Proton  Therapy:  Noninvasive  treatment  that  uses  a  particle  accelerator  to  deliver  a  focused  ray  of  proton  particles  that  destroy  cancer  cells.  555  East  Valley  Parkway,  Escondido,  CA  92025              (760)  739-­‐3835                      www.sdradiosurgery.com  
  10. 10. STEREOTACTIC  BODY  RADIATION  THERAPY  Stereotactic  Body  Radiation  Therapy:  Noninvasive  procedure  that  delivers  targeted  radiation  beams  to  the  prostate  without  incision  or  sedation  using  Novalis  Tx®  technology.  555  East  Valley  Parkway,  Escondido,  CA  92025              (760)  739-­‐3835                      www.sdradiosurgery.com  ì  Procedure  &  Recovery  Time  ì  PaEents  are  treated  in  five  or  fewer  outpaEent  sessions    ì  Treatment  procedures  take  about  30-­‐40  minutes  ì  PaEents  are  usually  able  to  return  to  their  normal  rouEne  aVer  treatment  ì  Recovery  is  often  immediate    ì  Potential  side  effects  ì  Few  to  no  side  effects  when  compared  to  traditional  radiation  therapy  
  11. 11. How  Does  Novalis  Tx  Treat  Prostate  Cancer  The  treatment  process  includes:  ì  Consultation  appointment  ì  Pretreatment  procedures  ì  Novalis  Tx    treatment  ì  Follow-­‐up  Prior  to  stereotacEc  body  radiosurgery  treatment,  small  metal  Essue  markers  known  as  fiducials  may  be  implanted  in  the  prostate  to  help  the  Novalis  Tx  pinpoint  the  tumor  locaEon  throughout  each  treatment,  so  the  radiaEon  beams  delivered  during  treatment  can  be  locked  on  the  tumor.    PaEents  are  then  scheduled  for  no  more  than  five  Novalis  Tx  treatments.  Each  treatment  takes  about  30  -­‐  40  minutes,  and  paEents  can  return  to  their  normal  rouEnes  following  each  procedure.  555  East  Valley  Parkway,  Escondido,  CA  92025              (760)  739-­‐3835                      www.sdradiosurgery.com  
  12. 12. Our  Center  Under  the  leadership  of  Medical  Director  Dr.  Brian  Volpp,  San  Diego  Radiosurgery  has  offered  advanced  cancer  treatment  from  some  of  the  region’s  most  experienced  radiation  oncologists  and  technicians  since  opening  in  2008.  Call  us  or  visit  our  website  to  learn  more  about  prostate  cancer  treatment  with  Novalis  Tx.  San  Diego  Radiosurgery  is  a  service  of  Palomar  Health  Downtown  Campus,  a  member  of  Palomar  Health.    Connect  With  Us  Medical  Director:  Dr.  Bryan  Volpp    Nurse:  Cathy  Blazek,  RN,  BSN    Medical  Physicist:  Mark  Young  555  East  Valley  Parkway,  Escondido,  CA  92025              (760)  739-­‐3835                      www.sdradiosurgery.com  

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