ì	  PROSTATE	  CANCER	  TREATMENT	  OPTIONS	  2010	  West	  Chester	  Pike	  Suite	  115,	  Havertown,	  PA	  19083	   	 ...
PROSTATE	  CANCER	  OVERVIEW	  ì  The	  prostate	  is	  located	  in	  a	  man’s	  lower	  abdomen	  and	  controls	  the...
TREATING	  PROSTATE	  CANCER	  ì  The	  stage	  of	  the	  cancer	  	  ì  The	  patient’s	  age	  and	  health	  	  ì  ...
TREATMENT	  OPTIONS	  ì  Prostate	  cancer	  treatment	  options	  include:	  ì  Watchful	  Waiting	  ì  Surgery	  ì  ...
WATCHFUL	  WAITINGì  The	  concept	  of	  watchful	  waiting	  has	  emerged	  as	  a	  viable	  option	  for	  men	  who...
SURGERY	  ì  Procedure	  &	  Recovery	  Time	  ì  Procedure	  lasts	  3	  –	  4	  hours	  ì  Requires	  general	  anest...
EXTERNAL-­‐BEAM	  RADIATION	  THERAPY	  ì  Procedure	  &	  Recovery	  Time	  ì  Approximately	  40	  daily	  radiation	 ...
BRACHYTHERAPY	  ì  Procedure	  &	  Recovery	  Time	  ì  One-­‐time	  procedure	  that	  requires	  patients	  to	  remai...
PROTON	  THERAPY	  ì  Procedure	  &	  Recovery	  Time	  ì  Treatment	  is	  usually	  delivered	  five	  days	  a	  week	...
STEREOTACTIC	  BODY	  RADIATION	  THERAPY	  ì  Procedure	  &	  Recovery	  Time	  ì  Patients	  are	  treated	  in	  five	...
CYBERKNIFE	  TREATMENT	  PROCESS	  The	  treatment	  process	  includes:	  ì  Consultation	  appointment	  ì  Pretreatme...
PHILADELPHIA	  CYBERKNIFE	  Newly	  published	  research	  from	  Philadelphia	  CyberKnife	  shows	  that	  SBRT’s	  succ...
OUR	  CENTER	  Philadelphia	  CyberKnife	  established	  the	  first	  CyberKnife	  program	  in	  the	  greater	  Philadel...
Upcoming SlideShare
Loading in …5
×

Prostate Cancer Treatment options

812 views

Published on

Philadelphia CyberKnife presents the different options for treating prostate cancer.

Published in: Health & Medicine
  • Be the first to comment

Prostate Cancer Treatment options

  1. 1. ì  PROSTATE  CANCER  TREATMENT  OPTIONS  2010  West  Chester  Pike  Suite  115,  Havertown,  PA  19083      (610)  446-­‐6850      www.phillycyberknife.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.    2010  West  Chester  Pike  Suite  115,  Havertown,  PA  19083      (610)  446-­‐6850      www.phillycyberknife.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:  2010  West  Chester  Pike  Suite  115,  Havertown,  PA  19083      (610)  446-­‐6850      www.phillycyberknife.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  2010  West  Chester  Pike  Suite  115,  Havertown,  PA  19083      (610)  446-­‐6850      www.phillycyberknife.com  
  5. 5. WATCHFUL  WAITINGì  The  concept  of  watchful  waiting  has  emerged  as  a  viable  option  for  men  who  decide  not  to  undergo  immediate  surgery  or  radiation  therapy.    2010  West  Chester  Pike  Suite  115,  Havertown,  PA  19083      (610)  446-­‐6850      www.phillycyberknife.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  and  often  a  post-­‐treatment  catheter  for  approximately  6  weeks  ì  Patients  may  experience  pain  associated  with  surgery    ì  Potential  side  effects  ì  Erectile  dysfunction  ì  Urinary  incontinence  Radical  Retropubic  Prostatectomy:  Surgery  in  which  the  prostate  gland  is  removed  and  that  may  include  biopsies  of  nearby  lymph  nodes.  2010  West  Chester  Pike  Suite  115,  Havertown,  PA  19083      (610)  446-­‐6850      www.phillycyberknife.com  
  7. 7. EXTERNAL-­‐BEAM  RADIATION  THERAPY  ì  Procedure  &  Recovery  Time  ì  Approximately  40  daily  radiation  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.    2010  West  Chester  Pike  Suite  115,  Havertown,  PA  19083      (610)  446-­‐6850      www.phillycyberknife.com  
  8. 8. BRACHYTHERAPY  ì  Procedure  &  Recovery  Time  ì  One-­‐time  procedure  that  requires  patients  to  remain  in  the  hospital  for  several  hours    ì  Patients  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.    2010  West  Chester  Pike  Suite  115,  Havertown,  PA  19083      (610)  446-­‐6850      www.phillycyberknife.com  
  9. 9. PROTON  THERAPY  ì  Procedure  &  Recovery  Time  ì  Treatment  is  usually  delivered  five  days  a  week  for  approximately  eight  weeks  ì  Patients  are  usually  able  to  return  to  their  normal  routine  after  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.  2010  West  Chester  Pike  Suite  115,  Havertown,  PA  19083      (610)  446-­‐6850      www.phillycyberknife.com  
  10. 10. STEREOTACTIC  BODY  RADIATION  THERAPY  ì  Procedure  &  Recovery  Time  ì  Patients  are  treated  in  five  or  fewer  outpatient  sessions  over  the  course  of  one  to  two  weeks  ì  Treatment  procedures  take  about  30-­‐90  minutes  ì  Patients  experience  no  pain  with  CyberKnife  and  are  usually  able  to  return  to  their  normal  routine  after  treatment  ì  Recovery  is  often  immediate    ì  Potential  side  effects  ì  Few  to  no  side  effects  when  compared  to  traditional  radiation  therapy  or  surgery  Stereotactic  Body  Radiation  Therapy:  Noninvasive  procedure  that  delivers  targeted  radiation  beams  to  the  prostate  without  incision  or  sedation  using  CyberKnife®  technology.  2010  West  Chester  Pike  Suite  115,  Havertown,  PA  19083      (610)  446-­‐6850      www.phillycyberknife.com  
  11. 11. CYBERKNIFE  TREATMENT  PROCESS  The  treatment  process  includes:  ì  Consultation  appointment  ì  Pretreatment  procedures  ì  CyberKnife  treatment  ì  Follow-­‐up  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.  2010  West  Chester  Pike  Suite  115,  Havertown,  PA  19083      (610)  446-­‐6850      www.phillycyberknife.com  
  12. 12. PHILADELPHIA  CYBERKNIFE  Newly  published  research  from  Philadelphia  CyberKnife  shows  that  SBRT’s  success  rate  is  comparable  to  other  treatments,  including  conventional  surgery,  which  is  often  held  as  the  gold  standard  treatment  for  prostate  cancer.  In  addition,  SBRT  offered  more  convenient  treatment  and  less  risk  of  side  effects  like  erectile  dysfunction.      The  study,  “Stereotactic  body  radiation  therapy  for  the  primary  treatment  of  localized  prostate  cancer,”  appeared  in  the  March  2013  issue  of  the  Journal  of  Radiation  Oncology.  Researchers  tracked  the  five-­‐year  progress  of  70  men  treated  with  SBRT.  The  results  “support  the  growing  body  of  literature  indicating  SBRT  for  prostate  cancer  is  effective  and  well  tolerated,”  the  study  concluded.      The  results  offer  hope  for  men  who  don’t  want  surgery  or  can’t  undergo  it  because  of  other  health  problems.  It  also  offers  an  alternative  radiation  option  to  IMRT  or  brachytherapy.    In  addition,  SBRT  carries  a  lower  risk  of  erectile  dysfunction.      
  13. 13. OUR  CENTER  Philadelphia  CyberKnife  established  the  first  CyberKnife  program  in  the  greater  Philadelphia  area,  giving  our  physicians  the  most  experience  treating  patients  with  this  technology  in  our  region.  Our  patients  have  come  from  throughout  the  eastern  United  States,  as  well  as  numerous  countries  around  the  world,  including  England,  India  and  Malaysia.  Philadelphia  CyberKnife  is  a  service  of  Delaware  County  Memorial  Hospital,  a  member  of  the  Crozer-­‐Keystone  Health  System.    Connect  With  Us  Medical  Director:  Dr.  Luther  Brady  Associate  Medical  Director:  Dr.  John  Lamond  DCMH  Chief  of  Radiation  Oncology:  Dr.  Rachelle  Lanciano  Chief  Medical  Physicist:  Jun  Yang,  PhD,  DABR  CyberKnife  Nurse  Manager:  Michael  Good,  RN  2010  West  Chester  Pike  Suite  115,  Havertown,  PA  19083      (610)  446-­‐6850      www.phillycyberknife.com  

×