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177 E. Brush Hill Road, Elmhurst, IL 60126

(331) 221-2050

www.chicagock.com
177 E. Brush Hill Road, Elmhurst, IL 60126

(331) 221-2050

www.chicagock.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.	
  
•  Na6onality	
  –	
  Asian	
  men,	
  for	
  example,	
  have	
  a	
  
lower	
  risk.	
  
•  Diet	
  –	
  Red	
  meat	
  and	
  dairy	
  products	
  tend	
  to	
  
increase	
  risk.	
  	
  
•  Lack	
  of	
  exercise	
  
•  Family	
  history	
  of	
  prostate	
  cancer	
  
	
  

177 E. Brush Hill Road, Elmhurst, IL 60126

(331) 221-2050

www.chicagock.com
What	
  are	
  symptoms	
  of	
  prostate	
  cancer?	
  
• 

	
  
• 

	
  
• 

Early-­‐stage	
  prostate	
  cancer	
  usually	
  has	
  no	
  symptoms.	
  Older	
  men	
  may	
  experience	
  frequent	
  urinaGon,	
  
though	
  it’s	
  likely	
  due	
  to	
  an	
  enlarged	
  prostate	
  in	
  a	
  condiGon	
  known	
  as	
  benign	
  prostaGc	
  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	
  anGgen	
  (PSA),	
  or	
  if	
  they	
  have	
  an	
  abnormality	
  like	
  a	
  nodule	
  found	
  during	
  a	
  digital	
  
rectal	
  examinaGon.	
  A	
  prostate	
  cancer	
  diagnosis	
  is	
  confirmed,	
  however,	
  only	
  through	
  biopsy.	
  
Urologists	
  usually	
  perform	
  biopsies	
  as	
  an	
  outpaGent	
  procedure.	
  An	
  ultrasound	
  probe	
  is	
  used	
  to	
  guide	
  
a	
  needle	
  that	
  removes	
  10	
  to	
  12	
  small	
  Gssue	
  samples	
  from	
  different	
  parts	
  of	
  the	
  prostate	
  gland.	
  
SomeGmes,	
  addiGonal	
  diagnosGc	
  tests	
  like	
  a	
  bone	
  scan,	
  CT	
  or	
  MRI	
  are	
  performed,	
  depending	
  on	
  the	
  
specific	
  diagnosis.	
  

177 E. Brush Hill Road, Elmhurst, IL 60126

(331) 221-2050

www.chicagock.com
177 E. Brush Hill Road, Elmhurst, IL 60126

(331) 221-2050

www.chicagock.com
How	
  does	
  CyberKnife	
  treat	
  prostate	
  
cancer?	
  
Prior	
  to	
  stereotacGc	
  body	
  radiosurgery	
  treatment	
  
with	
  CyberKnife,	
  small	
  Gssue	
  markers	
  known	
  as	
  
fiducials	
  are	
  implanted	
  in	
  the	
  prostate	
  to	
  help	
  the	
  
CyberKnife	
  pinpoint	
  the	
  tumor	
  locaGon	
  
throughout	
  each	
  treatment,	
  so	
  the	
  radiaGon	
  
beams	
  can	
  be	
  locked	
  on	
  the	
  tumor.	
  	
  
	
  
About	
  a	
  week	
  later,	
  paGents	
  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.  ConsultaGon	
  appointment	
  
II.  Pretreatment	
  procedures	
  
III.  CyberKnife	
  treatment	
  
IV.  Follow-­‐up	
  

177 E. Brush Hill Road, Elmhurst, IL 60126

(331) 221-2050

www.chicagock.com
Consulta6on	
  and	
  Pretreatment	
  Procedures	
  
CyberKnife	
  Center	
  of	
  Chicago	
  physicians,	
  therapists	
  and	
  nurses	
  are	
  focused	
  on	
  your	
  
individualized	
  treatment	
  plan:	
  
	
  
•  You	
  will	
  meet	
  a	
  CyberKnife	
  Center	
  of	
  Chicago	
  radiaGon	
  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	
  Gssue	
  markers.	
  	
  
	
  
•  The	
  data	
  from	
  your	
  pretreatment	
  procedures	
  will	
  be	
  used	
  by	
  the	
  CyberKnife	
  team	
  to	
  
determine	
  the	
  exact	
  size,	
  shape	
  and	
  locaGon	
  of	
  your	
  tumor.	
  
•  This	
  informaGon	
  will	
  indicate	
  the	
  size	
  of	
  the	
  area	
  being	
  treated	
  with	
  radiaGon,	
  the	
  
radiaGon	
  dose	
  and	
  criGcal	
  structures	
  where	
  radiaGon	
  exposure	
  should	
  be	
  minimized.	
  
	
  

177 E. Brush Hill Road, Elmhurst, IL 60126

(331) 221-2050

www.chicagock.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.	
  PaGents	
  are	
  
observed	
  throughout	
  the	
  treatment	
  on	
  closed-­‐
circuit	
  television,	
  and	
  they	
  can	
  pause	
  treatment	
  
at	
  any	
  Gme	
  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	
  sGll	
  during	
  treatments.	
  The	
  
system	
  periodically	
  takes	
  x-­‐ray	
  images	
  and	
  
compares	
  them	
  to	
  the	
  CT	
  scan	
  data	
  to	
  make	
  
sure	
  the	
  radiaGon	
  beam	
  is	
  locked	
  on	
  the	
  tumor.	
  
3.  PaGents	
  can	
  usually	
  return	
  to	
  their	
  normal	
  
rouGnes	
  once	
  the	
  treatment	
  is	
  complete.	
  

177 E. Brush Hill Road, Elmhurst, IL 60126

FOR	
  YOUR	
  INFORMATION	
  
• 

• 

• 

(331) 221-2050

Treatment	
  procedures	
  take	
  about	
  30	
  –	
  90	
  
minutes,	
  depending	
  on	
  the	
  complexity	
  of	
  your	
  
tumor.	
  
PaGents	
  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.	
  

www.chicagock.com
Addi6onal	
  Resources	
  

177 E. Brush Hill Road, Elmhurst, IL 60126

(331) 221-2050

www.chicagock.com
Our Center
CyberKnife	
  Center	
  of	
  Chicago	
  opened	
  in	
  August	
  2009	
  as	
  a	
  service	
  of	
  Elmhurst	
  Memorial	
  Hospital.	
  Our	
  Center	
  is	
  part	
  
of	
  the	
  hospital’s	
  radiaGon	
  oncology	
  department,	
  which	
  is	
  accredited	
  by	
  the	
  American	
  College	
  of	
  Radiology.	
  Our	
  
state-­‐of-­‐the-­‐art	
  CyberKnife	
  technology	
  can	
  offer	
  hope	
  to	
  paGents	
  in	
  the	
  Chicago	
  suburbs	
  and	
  beyond.	
  CyberKnife	
  
Center	
  of	
  Chicago	
  has	
  a	
  dedicated	
  CyberKnife	
  Nurse	
  Navigator	
  who	
  works	
  with	
  our	
  physicians	
  and	
  paGents	
  to	
  
coordinate	
  care	
  and	
  manage	
  the	
  treatment	
  process.	
  
	
  
If	
  you	
  or	
  a	
  loved	
  one	
  is	
  diagnosed	
  with	
  prostate	
  cancer,	
  contact	
  CyberKnife	
  Center	
  of	
  Chicago	
  to	
  schedule	
  a	
  
consultaGon	
  with	
  our	
  physicians	
  to	
  determine	
  the	
  best	
  next	
  step	
  for	
  your	
  treatment	
  needs.	
  
	
  
	
  
Medical	
  Director:	
  Dr.	
  Andy	
  W.	
  Su	
  
	
  
CyberKnife	
  Nurse:	
  Griselle	
  Romero,	
  RN	
  
	
  
Connect	
  with	
  us	
  
	
  

177 E. Brush Hill Road, Elmhurst, IL 60126

(331) 221-2050

www.chicagock.com

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Prostate Cancer: CyberKnife® Treatment Overview

  • 1. 177 E. Brush Hill Road, Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 2. 177 E. Brush Hill Road, Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 3. 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.   •  Na6onality  –  Asian  men,  for  example,  have  a   lower  risk.   •  Diet  –  Red  meat  and  dairy  products  tend  to   increase  risk.     •  Lack  of  exercise   •  Family  history  of  prostate  cancer     177 E. Brush Hill Road, Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 4. What  are  symptoms  of  prostate  cancer?   •    •    •  Early-­‐stage  prostate  cancer  usually  has  no  symptoms.  Older  men  may  experience  frequent  urinaGon,   though  it’s  likely  due  to  an  enlarged  prostate  in  a  condiGon  known  as  benign  prostaGc  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  anGgen  (PSA),  or  if  they  have  an  abnormality  like  a  nodule  found  during  a  digital   rectal  examinaGon.  A  prostate  cancer  diagnosis  is  confirmed,  however,  only  through  biopsy.   Urologists  usually  perform  biopsies  as  an  outpaGent  procedure.  An  ultrasound  probe  is  used  to  guide   a  needle  that  removes  10  to  12  small  Gssue  samples  from  different  parts  of  the  prostate  gland.   SomeGmes,  addiGonal  diagnosGc  tests  like  a  bone  scan,  CT  or  MRI  are  performed,  depending  on  the   specific  diagnosis.   177 E. Brush Hill Road, Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 5. 177 E. Brush Hill Road, Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 6. How  does  CyberKnife  treat  prostate   cancer?   Prior  to  stereotacGc  body  radiosurgery  treatment   with  CyberKnife,  small  Gssue  markers  known  as   fiducials  are  implanted  in  the  prostate  to  help  the   CyberKnife  pinpoint  the  tumor  locaGon   throughout  each  treatment,  so  the  radiaGon   beams  can  be  locked  on  the  tumor.       About  a  week  later,  paGents  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.  ConsultaGon  appointment   II.  Pretreatment  procedures   III.  CyberKnife  treatment   IV.  Follow-­‐up   177 E. Brush Hill Road, Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 7. Consulta6on  and  Pretreatment  Procedures   CyberKnife  Center  of  Chicago  physicians,  therapists  and  nurses  are  focused  on  your   individualized  treatment  plan:     •  You  will  meet  a  CyberKnife  Center  of  Chicago  radiaGon  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  Gssue  markers.       •  The  data  from  your  pretreatment  procedures  will  be  used  by  the  CyberKnife  team  to   determine  the  exact  size,  shape  and  locaGon  of  your  tumor.   •  This  informaGon  will  indicate  the  size  of  the  area  being  treated  with  radiaGon,  the   radiaGon  dose  and  criGcal  structures  where  radiaGon  exposure  should  be  minimized.     177 E. Brush Hill Road, Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 8. 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.  PaGents  are   observed  throughout  the  treatment  on  closed-­‐ circuit  television,  and  they  can  pause  treatment   at  any  Gme  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  sGll  during  treatments.  The   system  periodically  takes  x-­‐ray  images  and   compares  them  to  the  CT  scan  data  to  make   sure  the  radiaGon  beam  is  locked  on  the  tumor.   3.  PaGents  can  usually  return  to  their  normal   rouGnes  once  the  treatment  is  complete.   177 E. Brush Hill Road, Elmhurst, IL 60126 FOR  YOUR  INFORMATION   •  •  •  (331) 221-2050 Treatment  procedures  take  about  30  –  90   minutes,  depending  on  the  complexity  of  your   tumor.   PaGents  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.   www.chicagock.com
  • 9. Addi6onal  Resources   177 E. Brush Hill Road, Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 10. Our Center CyberKnife  Center  of  Chicago  opened  in  August  2009  as  a  service  of  Elmhurst  Memorial  Hospital.  Our  Center  is  part   of  the  hospital’s  radiaGon  oncology  department,  which  is  accredited  by  the  American  College  of  Radiology.  Our   state-­‐of-­‐the-­‐art  CyberKnife  technology  can  offer  hope  to  paGents  in  the  Chicago  suburbs  and  beyond.  CyberKnife   Center  of  Chicago  has  a  dedicated  CyberKnife  Nurse  Navigator  who  works  with  our  physicians  and  paGents  to   coordinate  care  and  manage  the  treatment  process.     If  you  or  a  loved  one  is  diagnosed  with  prostate  cancer,  contact  CyberKnife  Center  of  Chicago  to  schedule  a   consultaGon  with  our  physicians  to  determine  the  best  next  step  for  your  treatment  needs.       Medical  Director:  Dr.  Andy  W.  Su     CyberKnife  Nurse:  Griselle  Romero,  RN     Connect  with  us     177 E. Brush Hill Road, Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com