Opened in 2011, New Jersey CyberKnife at the J. Phillip Citta Regional Cancer Center is active in clinical research and combines experienced physicians with the latest medical advances. About 21,000 Americans are diagnosed with primary liver cancer each year and it is twice as common in men than in women. If you or a loved one is diagnosed with liver cancer, contact New Jersey CyberKnife to schedule a consultation with our physicians to determine the best next step for your treatment needs.

1. 99 Route 37, West Toms River, NJ 08755
(732) 557-3120
www.newjerseyck.com

2. A
liver
cancer
diagnosis
can
be
scary.
Learn
more
about
liver
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.
99 Route 37, West Toms River, NJ 08755
(732) 557-3120
www.newjerseyck.com

3. 99 Route 37, West Toms River, NJ 08755
(732) 557-3120
www.newjerseyck.com

4. About
Liver
Cancer
The
liver
is
the
largest
internal
organ.
It
lies
under
your
right
ribs
just
beneath
your
right
lung.
It
is
shaped
like
a
pyramid
and
divided
into
right
and
le9
lobes
which
are
further
divided
into
segments.
The
liver
gets
blood
from
the
hepa=c
artery
and
the
portal
vein
and
is
made
up
of
mainly
hepatocyte
cells.
The
different
types
of
cells
in
the
liver
can
for
several
types
of
malignant
and
benign
tumors.
About
21,000
Americans
are
diagnosed
with
primary
liver
cancer
each
year
and
is
twice
as
common
in
men
than
in
women.
99 Route 37, West Toms River, NJ 08755
(732) 557-3120
www.newjerseyck.com

5. Types
of
Liver
Cancer
A
cancer
that
starts
in
the
liver
is
called
primary
liver
cancer.
Here
are
the
types
of
primary
liver
cancer:
• Hepatocellular
carcinoma
(hepatocellular
cancer)
• Intrahepa=c
cholangiocarcinoma
(bile
duct
cancer)
• Angiosarcoma
and
hemangiosarcoma
• Hepatoblastoma
For
more
informa=on
on
the
types
of
primary
liver
cancer,
as
well
as
informa=on
on
secondary
liver
cancer,
click
here.
99 Route 37, West Toms River, NJ 08755
(732) 557-3120
www.newjerseyck.com

6. Risk
Factors
of
Liver
Cancer
There
is
no
single
cause
of
liver
cancer,
though
there
are
several
known
risk
factors:
• Gender
–
Seen
more
o9en
in
men.
• Age
–
Risks
generally
increase
for
older
men.
• Race
–
Asian
Americans
and
Pacific
Islanders
have
a
higher
risk
for
unknown
reasons
followed
by
American
Indians/Alaska
Na=ves
and
Hispanic/La=nos,
African
Americans
and
whites.
• NaAonality
–
much
more
common
in
countries
in
sub-­‐Saharan
Africa
and
Southeast
Asia
99 Route 37, West Toms River, NJ 08755
(732) 557-3120
www.newjerseyck.com

7. Risk
Factors
of
Liver
Cancer
• Cirrhosis
• Chronic
viral
hepaAAs
• Heavy
alcohol
use
• Obesity
• Type
2
diabetes
• Inherited
metabolic
diseases
• Alfatoxins
• Arsenic
• InfecAon
with
parasites
For
full
descrip=ons
of
these
risk
factors,
click
here.
99 Route 37, West Toms River, NJ 08755
(732) 557-3120
www.newjerseyck.com

8. What
are
symptoms
of
liver
cancer?
• Signs
and
symptoms
of
liver
cancer
o9en
do
not
show
up
un=l
the
later
stages
of
the
disease.
• Most
common
symptoms
are:
• Weight
loss
(without
trying)
• Loss
of
appe=te
• Feeling
very
full
a9er
a
small
meal
• Nausea
or
vomi=ng
• An
enlarged
liver,
felt
as
a
mass
under
ribs
on
the
right
side
• An
enlarged
spleen,
felt
as
a
mass
under
the
ribs
on
the
le9
side
• Pain
in
the
abdomen
or
near
the
right
shoulder
blade
• Swelling
or
fluid
build-­‐up
in
the
abdomen
• Itching
• Yellowing
of
the
skin
and
eyes
(jaundice)
• Chronic
hepa==s
or
cirrhosis
are
also
common
causes
which
may
cause
the
person
to
feel
worse
than
usual
or
have
a
change
in
lab
results.
99 Route 37, West Toms River, NJ 08755
(732) 557-3120
www.newjerseyck.com

9. 99 Route 37, West Toms River, NJ 08755
(732) 557-3120
www.newjerseyck.com

10. How
does
CyberKnife
treat
liver
cancer?
Prior
to
stereotac=c
body
radiosurgery
treatment
with
CyberKnife,
small
=ssue
markers
known
as
fiducials
are
implanted
in
the
liver
to
help
the
CyberKnife
pinpoint
the
tumor
loca=on
throughout
each
treatment,
so
the
radia=on
beams
can
be
locked
on
the
tumor.
About
a
week
later,
pa=ents
are
fiXed
with
a
custom
body
mold
of
so9
material
that
they
lie
on
during
treatments.
The
fiYng
process
is
painless.
The
treatment
process
includes:
I. Consulta=on
appointment
II. Pretreatment
procedures
III. CyberKnife
treatment
IV. Follow-­‐up
99 Route 37, West Toms River, NJ 08755
(732) 557-3120
www.newjerseyck.com

11. ConsultaAon
and
Pretreatment
Procedures
New
Jersey
CyberKnife
physicians,
therapists
and
nurses
are
focused
on
your
individualized
treatment
plan:
• You
will
meet
a
New
Jersey
CyberKnife
radia=on
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
=ssue
markers.
• The
data
from
your
pretreatment
procedures
will
be
used
by
the
CyberKnife
team
to
determine
the
exact
size,
shape
and
loca=on
of
your
tumor.
•
This
informa=on
will
indicate
the
size
of
the
area
being
treated
with
radia=on,
the
radia=on
dose
and
cri=cal
structures
where
radia=on
exposure
should
be
minimized.
99 Route 37, West Toms River, NJ 08755
(732) 557-3120
www.newjerseyck.com

12. 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.
Pa=ents
are
observed
throughout
the
treatment
on
closed-­‐circuit
television,
and
they
can
pause
treatment
at
any
=me
by
waving
or
speaking
to
the
technicians.
2.
3.
While
the
CyberKnife’s
advanced
tracking
system
accounts
for
movements
like
breathing,
you’re
asked
to
lie
s=ll
during
treatments.
The
system
periodically
takes
x-­‐ray
images
and
compares
them
to
the
CT
scan
data
to
make
sure
the
radia=on
beam
is
locked
on
the
tumor.
Pa=ents
can
usually
return
to
their
normal
rou=nes
once
the
treatment
is
complete.
99 Route 37, West Toms River, NJ 08755
FOR
YOUR
INFORMATION
• Treatment
procedures
take
about
30
–
90
minutes,
depending
on
the
complexity
of
your
tumor.
• Pa=ents
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.
(732) 557-3120
www.newjerseyck.com

13. AddiAonal
Resources
99 Route 37, West Toms River, NJ 08755
(732) 557-3120
www.newjerseyck.com

14. Our
Center
Opened
in
2011,
New
Jersey
CyberKnife
at
the
J.
Phillip
CiXa
Regional
Cancer
Center
is
ac=ve
in
clinical
research
and
combines
experienced
physicians
with
the
latest
medical
advances.
Our
state-­‐of-­‐the-­‐art
technology
offers
hope
to
pa=ents
in
New
Jersey
and
beyond.
Medical
Director
Dr.
David
D’Ambrosio
specialized
in
advanced
radia=on
therapies
and
his
exper=se
includes
intensity-­‐
modulated
and
stereotac=c
radia=on
therapies,
including
CyberKnife
radiosurgery.Our
center
provides
the
only
CyberKnife
technology
in
Ocean
County
New
Jersey.
If
you
or
a
loved
one
is
diagnosed
with
liver
cancer,
contact
New
Jersey
CyberKnife
to
schedule
a
consulta=on
with
our
physicians
to
determine
the
best
next
step
for
your
treatment
needs.
Medical
Director:
Dr.
David
D’Ambrosio
Chairman
of
RadiaAon
Oncology
at
Community
Medical
Center:
Dr.
Rajesh
Iyer
CyberKnife
Nurse:
Debbie
Moriarty,
RN,
MSN,
OCN
Connect
with
us
99 Route 37, West Toms River, NJ 08755
(732) 557-3120
www.newjerseyck.com