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6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
A 
prostate 
cancer 
diagnosis 
can 
be 
scary. 
Learn 
more 
about 
prostate 
cancer 
and 
how 
we 
can 
help. 
Please 
note: 
We 
encourage 
consumers 
to 
thoroughly 
review 
and 
understand 
all 
treatment 
op8ons. 
The 
informa8on 
presented 
here 
is 
not 
all-­‐inclusive. 
Rather, 
it 
represents 
a 
star8ng 
point 
to 
learn 
more 
about 
medical 
condi8ons 
and 
treatment 
op8ons. 
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
6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
About 
Prostate 
Cancer 
The 
prostate 
is 
a 
walnut-­‐shaped 
organ 
in 
a 
man’s 
lower 
abdomen 
that 
controls 
the 
flow 
of 
urine 
and 
semen 
through 
the 
penis. 
Prostate 
cancer 
is 
among 
the 
leading 
causes 
of 
cancer 
death 
among 
American 
men, 
second 
only 
to 
lung 
cancer. 
Risk 
factors: 
There 
is 
no 
single 
cause 
of 
prostate 
cancer, 
though 
there 
are 
several 
known 
risk 
factors: 
• Age 
– 
Risks 
generally 
increase 
for 
older 
men. 
• Race 
– 
African-­‐American 
men 
have 
a 
higher 
risk 
for 
unknown 
reasons. 
• Na?onality 
– 
Asian 
men, 
for 
example, 
have 
a 
lower 
risk. 
• Diet 
– 
Red 
meat 
and 
dairy 
products 
tend 
to 
increase 
risk. 
Several 
studies 
suggest 
that 
some 
dietary 
supplements 
like 
vitamin 
E 
and 
lycopene 
may 
reduce 
risk. 
• Lack 
of 
exercise 
• Family 
history 
of 
prostate 
cancer 
6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
What 
are 
symptoms 
of 
prostate 
cancer? 
• Early-­‐stage 
prostate 
cancer 
usually 
has 
no 
symptoms. 
Older 
men 
may 
experience 
frequent 
urinaHon, 
though 
it’s 
likely 
due 
to 
an 
enlarged 
prostate 
in 
a 
condiHon 
known 
as 
benign 
prostaHc 
hypertrophy, 
or 
BPH. 
Pain 
or 
bleeding 
is 
not 
commonly 
associated 
with 
early 
stages. 
• Prostate 
cancer 
is 
suspected 
if 
men 
have 
an 
elevated 
level 
of 
a 
substance 
in 
the 
bloodstream 
known 
as 
prostate 
specific 
anHgen 
(PSA), 
or 
if 
they 
have 
an 
abnormality 
like 
a 
nodule 
found 
during 
a 
digital 
rectal 
examinaHon. 
A 
prostate 
cancer 
diagnosis 
is 
confirmed, 
however, 
only 
through 
biopsy. 
• Urologists 
usually 
perform 
biopsies 
as 
an 
outpaHent 
procedure. 
An 
ultrasound 
probe 
is 
used 
to 
guide 
a 
needle 
that 
removes 
10 
to 
12 
small 
Hssue 
samples 
from 
different 
parts 
of 
the 
prostate 
gland. 
SomeHmes, 
addiHonal 
diagnosHc 
tests 
like 
a 
bone 
scan, 
CT 
or 
MRI 
are 
performed, 
depending 
on 
the 
specific 
diagnosis. 
6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
How 
does 
CyberKnife 
treat 
prostate 
cancer? 
Prior 
to 
stereotacHc 
body 
radiosurgery 
treatment 
with 
CyberKnife, 
small 
Hssue 
markers 
known 
as 
fiducials 
are 
implanted 
in 
the 
prostate 
to 
help 
the 
CyberKnife 
pinpoint 
the 
tumor 
locaHon 
throughout 
each 
treatment, 
so 
the 
radiaHon 
beams 
can 
be 
locked 
on 
the 
tumor. 
About 
a 
week 
later, 
paHents 
are 
fiWed 
with 
a 
custom 
body 
mold 
of 
soX 
material 
that 
they 
lie 
on 
during 
treatments. 
The 
fiYng 
process 
is 
painless. 
The 
treatment 
process 
includes: 
I. ConsultaHon 
appointment 
II. Pretreatment 
procedures 
III. CyberKnife 
treatment 
IV. Follow-­‐up 
6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
Consulta?on 
and 
Pretreatment 
Procedures 
Oklahoma 
CyberKnife 
physicians, 
therapists 
and 
nurses 
are 
focused 
on 
your 
individualized 
treatment 
plan: 
• You 
will 
meet 
an 
Oklahoma 
CyberKnife 
radiaHon 
oncologist 
to 
decide 
if 
CyberKnife 
treatment 
is 
appropriate 
for 
your 
diagnosis. 
• Your 
CyberKnife 
team 
will 
decide 
which 
pretreatment 
procedures 
you 
may 
need 
to 
help 
develop 
your 
treatment 
plan. 
These 
could 
include 
a 
CT 
scan, 
an 
MRI, 
laboratory 
studies 
or 
Hssue 
markers. 
• The 
data 
from 
your 
pretreatment 
procedures 
will 
be 
used 
by 
the 
CyberKnife 
team 
to 
determine 
the 
exact 
size, 
shape 
and 
locaHon 
of 
your 
tumor. 
• This 
informaHon 
will 
indicate 
the 
size 
of 
the 
area 
being 
treated 
with 
radiaHon, 
the 
radiaHon 
dose 
and 
criHcal 
structures 
where 
radiaHon 
exposure 
should 
be 
minimized. 
6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
CyberKnife 
Treatment 
Typically 
treatment 
is 
completed 
within 
five 
sessions. 
On 
the 
day 
of 
your 
treatment: 
1. A 
therapist 
will 
help 
you 
onto 
the 
treatment 
table 
and 
fit 
the 
body 
mold. 
PaHents 
are 
observed 
throughout 
the 
treatment 
on 
closed-­‐ 
circuit 
television, 
and 
they 
can 
pause 
treatment 
at 
any 
Hme 
by 
waving 
or 
speaking 
to 
the 
technicians. 
2. While 
the 
CyberKnife’s 
advanced 
tracking 
system 
accounts 
for 
movements 
like 
breathing, 
you’re 
asked 
to 
lie 
sHll 
during 
treatments. 
The 
system 
periodically 
takes 
x-­‐ray 
images 
and 
compares 
them 
to 
the 
CT 
scan 
data 
to 
make 
sure 
the 
radiaHon 
beam 
is 
locked 
on 
the 
tumor. 
3. PaHents 
can 
usually 
return 
to 
their 
normal 
rouHnes 
once 
the 
treatment 
is 
complete. 
FOR 
YOUR 
INFORMATION 
• Treatment 
procedures 
take 
about 
30 
– 
90 
minutes, 
depending 
on 
the 
complexity 
of 
your 
tumor. 
• PaHents 
are 
asked 
to 
wear 
comfortable 
clothing 
during 
CyberKnife 
treatments. 
Jewelry 
is 
acceptable 
unless 
it 
is 
close 
to 
the 
area 
being 
treated. 
• Feel 
free 
to 
bring 
an 
iPod® 
or 
your 
favorite 
music 
CDs 
with 
you 
on 
the 
day 
of 
your 
treatment, 
and 
we 
will 
play 
them 
for 
you 
during 
the 
procedure. 
6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
Addi?onal 
Resources 
6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
Our Center 
Opened 
in 
2008, 
Oklahoma 
CyberKnife 
is 
widely 
known 
as 
a 
leading 
provider 
of 
stereotacHc 
radiosurgery. 
Oklahoma 
CyberKnife 
is 
service 
of 
Hillcrest 
Medical 
Center. 
If 
you 
or 
a 
loved 
one 
is 
diagnosed 
with 
prostate 
cancer, 
contact 
Oklahoma 
CyberKnife 
to 
schedule 
a 
consultaHon 
with 
our 
physicians 
to 
determine 
the 
best 
next 
step 
for 
your 
treatment 
needs. 
Medical 
Director: 
Dr. 
Diane 
Heaton 
Radia?on 
Oncologist: 
Dr. 
Joshua 
Garren 
CyberKnife 
Administrator: 
Kathy 
Wood 
Connect 
with 
us 
6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com

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Oklahoma CyberKnife: Prostate Cancer Treatment Overview

  • 1. 6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
  • 2. A prostate cancer diagnosis can be scary. Learn more about prostate cancer and how we can help. Please note: We encourage consumers to thoroughly review and understand all treatment op8ons. The informa8on presented here is not all-­‐inclusive. Rather, it represents a star8ng point to learn more about medical condi8ons and treatment op8ons. 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
  • 3. 6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
  • 4. About Prostate Cancer The prostate is a walnut-­‐shaped organ in a man’s lower abdomen that controls the flow of urine and semen through the penis. Prostate cancer is among the leading causes of cancer death among American men, second only to lung cancer. Risk factors: There is no single cause of prostate cancer, though there are several known risk factors: • Age – Risks generally increase for older men. • Race – African-­‐American men have a higher risk for unknown reasons. • Na?onality – Asian men, for example, have a lower risk. • Diet – Red meat and dairy products tend to increase risk. Several studies suggest that some dietary supplements like vitamin E and lycopene may reduce risk. • Lack of exercise • Family history of prostate cancer 6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
  • 5. What are symptoms of prostate cancer? • Early-­‐stage prostate cancer usually has no symptoms. Older men may experience frequent urinaHon, though it’s likely due to an enlarged prostate in a condiHon known as benign prostaHc hypertrophy, or BPH. Pain or bleeding is not commonly associated with early stages. • Prostate cancer is suspected if men have an elevated level of a substance in the bloodstream known as prostate specific anHgen (PSA), or if they have an abnormality like a nodule found during a digital rectal examinaHon. A prostate cancer diagnosis is confirmed, however, only through biopsy. • Urologists usually perform biopsies as an outpaHent procedure. An ultrasound probe is used to guide a needle that removes 10 to 12 small Hssue samples from different parts of the prostate gland. SomeHmes, addiHonal diagnosHc tests like a bone scan, CT or MRI are performed, depending on the specific diagnosis. 6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
  • 6. 6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
  • 7. How does CyberKnife treat prostate cancer? Prior to stereotacHc body radiosurgery treatment with CyberKnife, small Hssue markers known as fiducials are implanted in the prostate to help the CyberKnife pinpoint the tumor locaHon throughout each treatment, so the radiaHon beams can be locked on the tumor. About a week later, paHents are fiWed with a custom body mold of soX material that they lie on during treatments. The fiYng process is painless. The treatment process includes: I. ConsultaHon appointment II. Pretreatment procedures III. CyberKnife treatment IV. Follow-­‐up 6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
  • 8. Consulta?on and Pretreatment Procedures Oklahoma CyberKnife physicians, therapists and nurses are focused on your individualized treatment plan: • You will meet an Oklahoma CyberKnife radiaHon oncologist to decide if CyberKnife treatment is appropriate for your diagnosis. • Your CyberKnife team will decide which pretreatment procedures you may need to help develop your treatment plan. These could include a CT scan, an MRI, laboratory studies or Hssue markers. • The data from your pretreatment procedures will be used by the CyberKnife team to determine the exact size, shape and locaHon of your tumor. • This informaHon will indicate the size of the area being treated with radiaHon, the radiaHon dose and criHcal structures where radiaHon exposure should be minimized. 6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
  • 9. CyberKnife Treatment Typically treatment is completed within five sessions. On the day of your treatment: 1. A therapist will help you onto the treatment table and fit the body mold. PaHents are observed throughout the treatment on closed-­‐ circuit television, and they can pause treatment at any Hme by waving or speaking to the technicians. 2. While the CyberKnife’s advanced tracking system accounts for movements like breathing, you’re asked to lie sHll during treatments. The system periodically takes x-­‐ray images and compares them to the CT scan data to make sure the radiaHon beam is locked on the tumor. 3. PaHents can usually return to their normal rouHnes once the treatment is complete. FOR YOUR INFORMATION • Treatment procedures take about 30 – 90 minutes, depending on the complexity of your tumor. • PaHents are asked to wear comfortable clothing during CyberKnife treatments. Jewelry is acceptable unless it is close to the area being treated. • Feel free to bring an iPod® or your favorite music CDs with you on the day of your treatment, and we will play them for you during the procedure. 6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
  • 10. Addi?onal Resources 6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com
  • 11. Our Center Opened in 2008, Oklahoma CyberKnife is widely known as a leading provider of stereotacHc radiosurgery. Oklahoma CyberKnife is service of Hillcrest Medical Center. If you or a loved one is diagnosed with prostate cancer, contact Oklahoma CyberKnife to schedule a consultaHon with our physicians to determine the best next step for your treatment needs. Medical Director: Dr. Diane Heaton Radia?on Oncologist: Dr. Joshua Garren CyberKnife Administrator: Kathy Wood Connect with us 6802 South Olympia Ave Suite G100, Tulsa, OK 74132 (918) 949-6676 www.oklahomack.com