Oklahoma CyberKnife presents the different options for treating prostate cancer.

1. ì
PROSTATE
CANCER
TREATMENT
OPTIONS
6802
South
Olympia
Ave
Suite
G100,
Tulsa,
OK
74132
(918)
949-­‐6676
www.oklahomack.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
US
during
2013.
6802
South
Olympia
Ave
Suite
G100,
Tulsa,
OK
74132
(918)
949-­‐6676
www.oklahomack.com

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:
6802
South
Olympia
Ave
Suite
G100,
Tulsa,
OK
74132
(918)
949-­‐6676
www.oklahomack.com

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
6802
South
Olympia
Ave
Suite
G100,
Tulsa,
OK
74132
(918)
949-­‐6676
www.oklahomack.com

5. WATCHFUL
WAITING
ì The
concept
of
watchful
waiEng
has
emerged
as
a
viable
opEon
for
men
who
decide
not
to
undergo
immediate
surgery
or
radiaEon
therapy.
6802
South
Olympia
Ave
Suite
G100,
Tulsa,
OK
74132
(918)
949-­‐6676
www.oklahomack.com

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.
6802
South
Olympia
Ave
Suite
G100,
Tulsa,
OK
74132
(918)
949-­‐6676
www.oklahomack.com

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.
6802
South
Olympia
Ave
Suite
G100,
Tulsa,
OK
74132
(918)
949-­‐6676
www.oklahomack.com

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.
6802
South
Olympia
Ave
Suite
G100,
Tulsa,
OK
74132
(918)
949-­‐6676
www.oklahomack.com

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.
6802
South
Olympia
Ave
Suite
G100,
Tulsa,
OK
74132
(918)
949-­‐6676
www.oklahomack.com

10. STEREOTACTIC
BODY
RADIATION
THERAPY
ì Procedure
&
Recovery
Time
ì PaEents
are
treated
in
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 Few
to
no
side
effects
when
compared
to
traditional
radiation
therapy
Stereotactic
Body
Radiation
Therapy:
Noninvasive
procedure
that
delivers
targeted
radiation
beams
to
the
prostate
without
incision
or
sedation
using
CyberKnife®
technology.
6802
South
Olympia
Ave
Suite
G100,
Tulsa,
OK
74132
(918)
949-­‐6676
www.oklahomack.com

11. How
Does
CyberKnife
Treat
Prostate
Cancer
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.
6802
South
Olympia
Ave
Suite
G100,
Tulsa,
OK
74132
(918)
949-­‐6676
www.oklahomack.com

12. Our
Center
Opened
in
2008,
Oklahoma
CyberKnife
is
widely
known
as
a
leading
provider
of
stereotactic
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
consultation
with
our
physicians
to
determine
the
best
next
step
for
your
treatment
needs.
Connect
With
Us
Medical
Director:
Dr.
Diane
Heaton
Radiation
Oncologist:
Dr.
Joshua
Garren
CyberKnife
Nurse
Manager:
Lydia
Jackson
6802
South
Olympia
Ave
Suite
G100,
Tulsa,
OK
74132
(918)
949-­‐6676
www.oklahomack.com